Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $40.25 / $85.15	Facility		$21.66	$40.25	$85.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $15.73 / $21.66	Professional		$13.06	$15.73	$21.66
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
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 / $85.74	Facility		$14.80	$16.25	$85.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $18.05 / $50.00	Professional		$10.83	$18.05	$50.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $27.08 / $85.00	Professional		$8.93	$27.08	$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 / $61.60	Professional		$22.07	$44.35	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $85.74	Facility		$36.10	$36.10	$85.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $11.27	Professional		$9.57	$9.57	$11.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $38.44	Professional		$18.57	$18.57	$38.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $52.46 / $98.55	Professional		$18.57	$52.46	$98.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.70 / $49.47	Professional		$10.47	$15.70	$49.47