Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $121.51 / $287.04	Facility		$15.94	$121.51	$287.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.28 / $30.32	Professional		$11.84	$13.28	$30.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $34.53 / $36.52	Facility		$28.55	$34.53	$36.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.56 / $54.94	Professional		$6.56	$6.56	$54.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $36.04 / $37.47	Facility		$7.29	$36.04	$37.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.76 / $40.64	Professional		$15.28	$35.76	$40.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $15.94	Facility		$11.83	$11.83	$15.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $11.95 / $65.36	Facility		$10.89	$11.95	$65.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.28 / $36.79	Professional		$7.79	$13.28	$36.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $26.02 / $85.00	Professional		$6.64	$26.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $15.94	Facility		$11.83	$11.83	$15.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $32.47 / $82.56	Professional		$16.23	$32.47	$82.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $26.56 / $65.36	Facility		$26.56	$26.56	$65.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.82 / $13.07	Professional		$7.04	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $28.28	Professional		$17.51	$17.51	$28.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $62.94 / $72.51	Professional		$17.51	$62.94	$72.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $10.84 / $32.86	Professional		$6.64	$10.84	$32.86