Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $60.46	Facility		$32.53	$32.53	$60.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $25.48 / $32.53	Professional		$13.48	$25.48	$32.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $70.48 / $74.55	Facility		$58.29	$70.48	$74.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $110.60	Professional		$10.84	$10.84	$110.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $27.11 / $68.86	Facility		$16.32	$27.11	$68.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $73.01 / $82.96	Professional		$31.39	$73.01	$82.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $14.09 / $32.53	Facility		$14.09	$14.09	$32.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $21.69 / $128.77	Facility		$14.09	$21.69	$128.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $27.11 / $56.93	Professional		$15.72	$27.11	$56.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $40.67 / $85.00	Professional		$13.56	$40.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $14.09 / $32.53	Facility		$14.09	$14.09	$32.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $64.79 / $92.40	Professional		$36.10	$64.79	$92.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $54.22 / $128.77	Facility		$54.22	$54.22	$128.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.21 / $14.21	Professional		$12.74	$14.21	$14.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $57.73	Professional		$27.11	$27.11	$57.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $85.29 / $148.02	Professional		$27.11	$85.29	$148.02
United Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $32.53	Facility		$32.53	$32.53	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $21.69 / $83.60	Professional		$14.64	$21.69	$83.60