Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $118.08 / $199.10	Facility		$14.30	$118.08	$199.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.20 / $14.30	Professional		$9.77	$11.20	$14.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $30.99 / $32.78	Facility		$25.63	$30.99	$32.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $49.32	Professional		$5.89	$5.89	$49.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $32.36 / $33.63	Facility		$6.55	$32.36	$33.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.10 / $36.47	Professional		$13.63	$32.10	$36.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $14.30	Facility		$10.61	$10.61	$14.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.73 / $86.00	Facility		$9.77	$10.73	$86.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $11.92 / $34.99	Professional		$7.15	$11.92	$34.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $24.58 / $85.00	Professional		$5.90	$24.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $14.30	Facility		$10.61	$10.61	$14.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $29.30 / $81.64	Professional		$14.56	$29.30	$81.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $86.00	Facility		$23.84	$23.84	$86.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.84 / $11.76	Professional		$6.32	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $69.20	Professional		$25.38	$25.38	$69.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $65.08 / $69.20	Professional		$47.52	$65.08	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.00 / $32.67	Professional		$6.91	$10.00	$32.67