Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $38.33 / $56.98	Facility		$30.66	$38.33	$56.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $24.27 / $98.30	Professional		$20.95	$24.27	$98.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $66.43 / $70.26	Facility		$54.93	$66.43	$70.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $105.72	Professional		$12.35	$12.35	$105.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $67.90 / $70.56	Facility		$17.04	$67.90	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.81 / $78.19	Professional		$29.32	$68.81	$78.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $30.66	Facility		$22.27	$22.27	$30.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $23.00 / $121.36	Facility		$20.95	$23.00	$121.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $25.55 / $70.77	Professional		$14.82	$25.55	$70.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $49.02 / $85.00	Professional		$12.78	$49.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $30.66	Facility		$22.27	$22.27	$30.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $62.57 / $164.71	Professional		$30.56	$62.57	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $121.36	Facility		$51.10	$51.10	$121.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $16.48 / $24.57	Professional		$13.54	$16.48	$24.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $25.73 / $54.41	Professional		$25.73	$25.73	$54.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $99.68 / $139.50	Professional		$25.73	$99.68	$139.50
United Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $25.55	Facility		$25.55	$25.55	$25.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $20.58 / $70.02	Professional		$12.78	$20.58	$70.02