Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $65.72 / $65.72	Facility		$28.83	$65.72	$65.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.83 / $288.36	Professional		$27.99	$28.83	$288.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $60.18 / $62.42	Facility		$51.78	$60.18	$62.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $41.98	Professional		$27.99	$27.99	$41.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $38.32 / $42.93	Facility		$27.99	$38.32	$42.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $64.90	Professional		$27.99	$28.62	$64.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $33.54 / $53.35	Facility		$25.66	$33.54	$53.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $27.99 / $31.73	Professional		$25.53	$27.99	$31.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $40.36	Facility		$27.99	$28.62	$40.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $28.62 / $40.06	Facility		$28.62	$28.62	$40.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $31.86 / $109.60	Professional		$28.62	$31.86	$109.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $51.51 / $85.00	Professional		$27.99	$51.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $40.36	Facility		$27.99	$28.62	$40.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $29.67 / $66.18	Professional		$23.67	$29.67	$66.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $82.36 / $415.50	Facility		$27.99	$82.36	$415.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $83.10 / $109.60	Professional		$26.85	$83.10	$109.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $39.29	Professional		$39.29	$39.29	$39.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.83 / $35.27	Professional		$27.99	$28.83	$35.27