Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $20.70 / $23.45	Facility		$20.70	$20.70	$23.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.44 / $30.75	Professional		$19.01	$23.44	$30.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $25.15 / $79.95	Professional		$21.79	$25.15	$79.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $33.95 / $39.61	Facility		$28.06	$33.95	$39.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $37.79 / $68.02	Professional		$30.18	$37.79	$68.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $45.00 / $84.31	Professional		$33.00	$45.00	$84.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.86 / $38.61	Facility		$20.70	$25.86	$38.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.70 / $39.47	Facility		$20.70	$25.70	$39.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $94.31 / $167.08	Professional		$33.14	$94.31	$167.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $33.12 / $70.00	Professional		$21.51	$33.12	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.86 / $38.61	Facility		$20.70	$25.86	$38.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $57.50 / $93.30	Professional		$33.69	$57.50	$93.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Facility		$56.60	$56.60	$56.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $127.45 / $167.08	Professional		$97.58	$127.45	$167.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $79.86 / $89.22	Professional		$33.45	$79.86	$89.22
United Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $52.13 / $95.59	Professional		$29.63	$52.13	$95.59