Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $29.55 / $184.50	Facility		$15.90	$29.55	$184.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $12.46 / $83.08	Professional		$11.82	$12.46	$83.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $34.45 / $36.44	Facility		$28.49	$34.45	$36.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $54.83	Professional		$6.54	$6.54	$54.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $36.00 / $37.40	Facility		$7.28	$36.00	$37.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.68 / $40.54	Professional		$15.28	$35.68	$40.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $15.90	Facility		$11.81	$11.81	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $12.46 / $68.20	Facility		$10.87	$12.46	$68.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $13.25 / $36.70	Professional		$7.78	$13.25	$36.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $25.98 / $85.00	Professional		$6.63	$25.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $15.90	Facility		$11.81	$11.81	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $32.47 / $91.14	Professional		$16.20	$32.47	$91.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $68.20	Facility		$26.50	$26.50	$68.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.82 / $13.07	Professional		$7.02	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $28.22	Professional		$18.54	$18.54	$28.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $72.34	Professional		$18.54	$18.54	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $10.93 / $36.70	Professional		$6.63	$10.93	$36.70