Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $24.74 / $36.77	Facility		$19.79	$24.74	$36.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $15.67 / $54.51	Professional		$13.52	$15.67	$54.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $42.87 / $45.35	Facility		$35.45	$42.87	$45.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $67.26	Professional		$6.85	$6.85	$67.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $40.29 / $41.88	Facility		$11.09	$40.29	$41.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.41 / $50.46	Professional		$19.00	$44.41	$50.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $19.79	Facility		$8.25	$8.25	$19.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $13.52 / $90.00	Facility		$8.25	$13.52	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $16.48 / $40.68	Professional		$9.56	$16.48	$40.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $28.59 / $85.00	Professional		$8.25	$28.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $19.79	Facility		$8.25	$8.25	$19.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.39 / $58.63	Professional		$19.38	$40.39	$58.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $32.97 / $90.00	Facility		$32.97	$32.97	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $9.15 / $13.59	Professional		$8.74	$9.15	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $35.11	Professional		$14.27	$14.27	$35.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $90.04	Professional		$14.27	$14.27	$90.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.19 / $45.19	Professional		$9.89	$13.19	$45.19