Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $30.68 / $124.20	Facility		$16.51	$30.68	$124.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $12.93 / $16.51	Professional		$11.28	$12.93	$16.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $35.78 / $37.84	Facility		$29.58	$35.78	$37.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $56.13	Professional		$6.80	$6.80	$56.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $37.36 / $38.84	Facility		$7.56	$37.36	$38.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.04 / $42.10	Professional		$16.11	$37.04	$42.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $16.51	Facility		$12.26	$12.26	$16.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $12.38 / $81.00	Facility		$11.28	$12.38	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.88 / $34.42	Professional		$8.26	$12.88	$34.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $23.00 / $85.00	Professional		$6.88	$23.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $16.51	Facility		$12.26	$12.26	$16.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $34.06 / $81.28	Professional		$16.82	$34.06	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $27.52 / $81.00	Facility		$27.52	$27.52	$81.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $9.15 / $13.59	Professional		$7.29	$9.15	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $54.59	Professional		$29.30	$29.30	$54.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $59.20 / $75.13	Professional		$46.79	$59.20	$75.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $11.25 / $30.58	Professional		$7.98	$11.25	$30.58