Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $29.55 / $132.05	Facility		$15.90	$29.55	$132.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.46 / $15.90	Professional		$10.87	$12.46	$15.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $34.45 / $36.44	Facility		$28.49	$34.45	$36.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $54.83	Professional		$6.54	$6.54	$54.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $36.00 / $37.40	Facility		$7.28	$36.00	$37.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.68 / $40.54	Professional		$15.28	$35.68	$40.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $15.90	Facility		$11.81	$11.81	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $11.93 / $70.00	Facility		$10.87	$11.93	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.25 / $36.70	Professional		$7.95	$13.25	$36.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $36.58 / $85.00	Professional		$11.30	$36.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $15.90	Facility		$11.81	$11.81	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $32.47 / $50.27	Professional		$16.20	$32.47	$50.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $70.00	Facility		$26.50	$26.50	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.82 / $13.07	Professional		$7.02	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $70.98	Professional		$28.22	$28.22	$70.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $70.98 / $72.34	Professional		$52.83	$70.98	$72.34
United Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $31.96	Facility		$11.78	$11.78	$31.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $11.20 / $36.31	Professional		$7.69	$11.20	$36.31