Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $24.89 / $37.00	Facility		$19.91	$24.89	$37.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $15.76 / $65.23	Professional		$13.60	$15.76	$65.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.67 / $43.13 / $45.62	Facility		$35.67	$43.13	$45.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $68.64	Professional		$8.19	$8.19	$68.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $46.84 / $48.82	Facility		$9.11	$46.84	$48.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.67 / $50.76	Professional		$19.00	$44.67	$50.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $19.91	Facility		$14.78	$14.78	$19.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $14.93 / $79.02	Facility		$13.60	$14.93	$79.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.59 / $45.95	Professional		$9.94	$16.59	$45.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $32.54 / $85.00	Professional		$8.30	$32.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $19.91	Facility		$14.78	$14.78	$19.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $40.39 / $88.52	Professional		$20.28	$40.39	$88.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $33.18 / $79.02	Facility		$33.18	$33.18	$79.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $10.94 / $16.20	Professional		$8.78	$10.94	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $54.50	Professional		$35.33	$35.33	$54.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $54.50 / $90.58	Professional		$54.50	$54.50	$90.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.01 / $45.46	Professional		$9.61	$14.01	$45.46