Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $51.25 / $355.22	Facility		$27.58	$51.25	$355.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.60 / $51.25	Professional		$16.48	$21.60	$51.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $59.75 / $63.20	Facility		$49.41	$59.75	$63.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $93.74	Professional		$9.19	$9.19	$93.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $56.16 / $58.37	Facility		$15.33	$56.16	$58.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $61.89 / $70.33	Professional		$26.43	$61.89	$70.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $16.23 / $27.58	Facility		$15.02	$16.23	$27.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $18.84 / $243.00	Facility		$15.02	$18.84	$243.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $22.98 / $49.50	Professional		$13.33	$22.98	$49.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $34.47 / $85.00	Professional		$11.49	$34.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $16.23 / $27.58	Facility		$15.02	$16.23	$27.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $56.23 / $263.55	Professional		$26.98	$56.23	$263.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $45.96 / $243.00	Facility		$45.96	$45.96	$243.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.28 / $16.47	Professional		$11.11	$11.28	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $48.94 / $100.68	Professional		$48.94	$48.94	$100.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $100.68 / $125.47	Professional		$85.09	$100.68	$125.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $18.38 / $49.50	Professional		$12.41	$18.38	$49.50