Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $24.57 / $486.20	Facility		$19.66	$24.57	$486.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $19.14 / $64.44	Professional		$13.43	$19.14	$64.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $42.59 / $45.05	Facility		$35.22	$42.59	$45.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $67.77	Professional		$8.09	$8.09	$67.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $44.47 / $46.23	Facility		$9.00	$44.47	$46.23
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 / $44.11 / $50.13	Professional		$19.00	$44.11	$50.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $19.66	Facility		$14.60	$14.60	$19.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.74 / $106.43	Facility		$13.43	$14.74	$106.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $16.38 / $45.37	Professional		$9.61	$16.38	$45.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $32.12 / $85.00	Professional		$8.19	$32.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $19.66	Facility		$14.60	$14.60	$19.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $40.39 / $112.00	Professional		$20.02	$40.39	$112.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $106.43	Facility		$32.76	$32.76	$106.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $10.78 / $15.94	Professional		$8.68	$10.78	$15.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $30.69 / $34.88	Professional		$30.69	$30.69	$34.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $82.62 / $89.43	Professional		$30.69	$82.62	$89.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $13.52 / $40.58	Professional		$8.19	$13.52	$40.58