Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $136.00 / $270.74	Facility		$21.86	$136.00	$270.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $13.70 / $57.26	Professional		$11.95	$13.70	$57.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $37.88 / $40.07	Facility		$31.33	$37.88	$40.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $60.28	Professional		$7.19	$7.19	$60.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $39.54 / $41.10	Facility		$8.00	$39.54	$41.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.24 / $44.59	Professional		$16.93	$39.24	$44.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $17.48	Facility		$12.97	$12.97	$17.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $14.01 / $75.23	Facility		$11.95	$14.01	$75.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.57 / $40.36	Professional		$8.74	$14.57	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $28.54 / $85.00	Professional		$7.29	$28.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $17.48	Facility		$12.97	$12.97	$17.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $35.64 / $88.52	Professional		$17.80	$35.64	$88.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $75.23	Facility		$29.14	$29.14	$75.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $9.64 / $14.11	Professional		$7.72	$9.64	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $31.03	Professional		$20.60	$20.60	$31.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $79.55	Professional		$20.60	$20.60	$79.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.01 / $36.04	Professional		$8.44	$12.01	$36.04