Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $35.03 / $59.90	Facility		$26.27	$35.03	$59.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $48.37 / $73.73	Professional		$27.90	$48.37	$73.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $60.47 / $170.09	Professional		$34.01	$60.47	$170.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $45.10 / $52.85	Facility		$35.22	$45.10	$52.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $63.00 / $79.80	Professional		$52.91	$63.00	$79.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $184.28 / $244.92	Facility		$157.69	$184.28	$244.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $63.75 / $107.80	Professional		$50.89	$63.75	$107.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $59.43 / $86.89	Facility		$35.03	$59.43	$86.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $59.43 / $89.85	Facility		$35.03	$59.43	$89.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $144.94 / $383.65	Professional		$73.40	$144.94	$383.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $132.93	Professional		$39.92	$63.30	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $59.43 / $89.85	Facility		$35.03	$59.43	$89.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $117.83 / $184.99	Professional		$61.54	$117.83	$184.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $72.90 / $184.32	Facility		$50.11	$72.90	$184.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $240.43 / $383.65	Professional		$50.89	$240.43	$383.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $103.65 / $159.83	Professional		$41.94	$103.65	$159.83
United Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $121.18 / $252.26	Professional		$68.55	$121.18	$252.26