Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $30.78 / $45.76	Facility		$24.62	$30.78	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.48 / $78.25	Professional		$16.82	$19.48	$78.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $53.35 / $56.43	Facility		$44.12	$53.35	$56.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $84.90	Professional		$10.14	$10.14	$84.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $55.72 / $57.91	Facility		$14.00	$55.72	$57.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $101.77	Facility		$56.77	$66.34	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $55.25 / $62.79	Professional		$23.54	$55.25	$62.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $24.62	Facility		$18.28	$18.28	$24.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $18.47 / $110.00	Facility		$16.82	$18.47	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $20.52 / $56.84	Professional		$12.31	$20.52	$56.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $55.00 / $85.00	Professional		$10.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $24.62	Facility		$18.28	$18.28	$24.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $49.90 / $164.71	Professional		$25.08	$49.90	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $41.04 / $110.00	Facility		$41.04	$41.04	$110.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $13.55 / $20.12	Professional		$10.88	$13.55	$20.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $20.48 / $43.70	Professional		$20.48	$20.48	$43.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $94.37 / $112.04	Professional		$20.48	$94.37	$112.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $16.78 / $56.24	Professional		$11.90	$16.78	$56.24