Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $24.90 / $58.52	Facility		$21.66	$24.90	$58.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $16.97 / $24.78	Professional		$15.51	$16.97	$24.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $46.93 / $49.64	Facility		$38.81	$46.93	$49.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $74.69	Professional		$8.91	$8.91	$74.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $49.03 / $50.95	Facility		$9.92	$49.03	$50.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.61 / $55.24	Professional		$20.65	$48.61	$55.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.66	Facility		$16.07	$16.07	$21.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $16.25 / $137.69	Facility		$14.80	$16.25	$137.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $18.05 / $50.00	Professional		$10.60	$18.05	$50.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $35.39 / $85.00	Professional		$9.02	$35.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.66	Facility		$16.07	$16.07	$21.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $44.35 / $96.21	Professional		$22.07	$44.35	$96.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $137.69	Facility		$36.10	$36.10	$137.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.92 / $17.77	Professional		$9.57	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $38.44 / $59.02	Professional		$38.44	$38.44	$59.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $77.44 / $98.55	Professional		$59.02	$77.44	$98.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.14 / $50.00	Professional		$10.43	$15.14	$50.00