Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $20.70 / $23.15	Facility		$20.70	$20.70	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.25 / $31.03	Professional		$19.01	$23.25	$31.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $25.15 / $81.17	Professional		$21.79	$25.15	$81.17
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 / $83.06	Professional		$33.00	$45.00	$83.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.70 / $38.61	Facility		$20.70	$25.70	$38.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.57 / $39.22	Facility		$20.70	$25.57	$39.22
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 $20.70 / $34.41 / $70.00	Professional		$20.70	$34.41	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.70 / $38.61	Facility		$20.70	$25.70	$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 / $78.66 / $89.22	Professional		$33.45	$78.66	$89.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $54.00 / $95.59	Professional		$30.36	$54.00	$95.59