Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $29.22 / $32.79	Facility		$28.30	$29.22	$32.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $32.29 / $122.39	Professional		$26.93	$32.29	$122.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $49.75 / $95.52	Professional		$30.75	$49.75	$95.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $37.08 / $43.53	Facility		$29.02	$37.08	$43.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $35.52 / $49.74	Professional		$29.71	$35.52	$49.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $132.96	Facility		$85.61	$100.04	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $44.64 / $87.14	Professional		$28.57	$44.64	$87.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $31.79 / $59.52	Facility		$28.30	$31.79	$59.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $31.38 / $61.32	Facility		$27.25	$31.38	$61.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $67.42 / $203.57	Professional		$36.01	$67.42	$203.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $57.73 / $85.00	Professional		$21.51	$57.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $31.79 / $61.32	Facility		$28.30	$31.79	$61.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $73.22 / $103.85	Professional		$41.26	$73.22	$103.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $58.92 / $154.90	Facility		$41.14	$58.92	$154.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $138.29 / $203.57	Professional		$28.57	$138.29	$203.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $63.90 / $66.65	Professional		$42.94	$63.90	$66.65
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $58.66 / $91.08	Professional		$34.97	$58.66	$91.08