Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $24.51 / $93.72	Facility		$19.61	$24.51	$93.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $14.61 / $19.61	Professional		$13.40	$14.61	$19.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $42.48 / $44.94	Facility		$35.13	$42.48	$44.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $67.61	Professional		$8.07	$8.07	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $44.36 / $46.10	Facility		$8.98	$44.36	$46.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.00 / $50.00	Professional		$19.00	$44.00	$50.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $14.56 / $19.61	Facility		$14.56	$14.56	$19.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $14.71 / $77.84	Facility		$13.40	$14.71	$77.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.34 / $45.26	Professional		$9.80	$16.34	$45.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $32.04 / $85.00	Professional		$8.17	$32.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $14.56 / $19.61	Facility		$14.56	$14.56	$19.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $40.39 / $110.26	Professional		$19.97	$40.39	$110.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $32.68 / $77.84	Facility		$32.68	$32.68	$77.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.78 / $15.94	Professional		$8.66	$10.78	$15.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $34.79 / $50.78	Professional		$34.79	$34.79	$50.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $82.28 / $89.22	Professional		$50.78	$82.28	$89.22
United Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $39.39	Facility		$14.52	$14.52	$39.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $13.45 / $44.78	Professional		$9.48	$13.45	$44.78