Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $29.42 / $43.73	Facility		$23.53	$29.42	$43.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $18.43 / $23.53	Professional		$14.67	$18.43	$23.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $50.99 / $53.93	Facility		$42.16	$50.99	$53.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $80.00	Professional		$8.33	$8.33	$80.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $47.93 / $49.81	Facility		$13.25	$47.93	$49.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.81 / $60.01	Professional		$22.72	$52.81	$60.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.69 / $23.53	Facility		$15.02	$15.69	$23.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $16.23 / $320.00	Facility		$15.02	$16.23	$320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $19.61 / $42.27	Professional		$11.37	$19.61	$42.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $29.42 / $85.00	Professional		$9.81	$29.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.69 / $23.53	Facility		$15.02	$15.69	$23.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $48.31 / $71.40	Professional		$23.18	$48.31	$71.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $39.22 / $320.00	Facility		$39.22	$39.22	$320.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.11 / $16.47	Professional		$10.39	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $230.93	Professional		$41.76	$41.76	$230.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $230.93 / $230.93	Professional		$72.00	$230.93	$230.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $19.61 / $54.32	Professional		$10.59	$19.61	$54.32