Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $17.57 / $41.72	Facility		$14.10	$17.57	$41.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $38.79 / $60.30	Professional		$17.53	$38.79	$60.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $46.99 / $165.81	Professional		$18.14	$46.99	$165.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $21.79 / $25.59	Facility		$17.05	$21.79	$25.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $48.73 / $60.85	Professional		$40.63	$48.73	$60.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $141.11 / $187.54	Facility		$120.75	$141.11	$187.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $50.63 / $110.57	Professional		$24.84	$50.63	$110.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $36.18 / $54.24	Facility		$17.48	$36.18	$54.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $36.18 / $55.51	Facility		$17.48	$36.18	$55.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $78.19 / $272.14	Professional		$43.67	$78.19	$272.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $33.89 / $70.00	Professional		$20.72	$33.89	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $36.18 / $55.51	Facility		$17.55	$36.18	$55.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $61.32 / $137.24	Professional		$37.36	$61.32	$137.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $34.64 / $90.29	Facility		$24.21	$34.64	$90.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $156.41 / $272.14	Professional		$39.88	$156.41	$272.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $92.98 / $126.25	Professional		$55.45	$92.98	$126.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $78.00 / $110.28	Professional		$46.13	$78.00	$110.28