Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $37.90 / $124.01	Facility		$20.39	$37.90	$124.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $15.98 / $37.90	Professional		$13.94	$15.98	$37.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $44.20 / $46.75	Facility		$36.54	$44.20	$46.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $70.34	Professional		$8.27	$8.27	$70.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $45.55 / $47.35	Facility		$11.56	$45.55	$47.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $45.78 / $52.03	Professional		$19.82	$45.78	$52.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $20.39	Facility		$14.94	$14.94	$20.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $15.30 / $112.12	Facility		$13.94	$15.30	$112.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $17.00 / $47.09	Professional		$10.19	$17.00	$47.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $32.88 / $85.00	Professional		$8.50	$32.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $20.39	Facility		$14.94	$14.94	$20.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $41.98 / $104.52	Professional		$20.50	$41.98	$104.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $112.12	Facility		$34.00	$34.00	$112.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $11.11 / $16.47	Professional		$9.01	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $36.20 / $62.75	Professional		$36.20	$36.20	$62.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $92.82	Professional		$62.75	$62.75	$92.82
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.84 / $49.22	Professional		$9.86	$13.84	$49.22