Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $38.72 / $42.30	Facility		$22.76	$38.72	$42.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.95 / $26.05	Professional		$14.03	$16.95	$26.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $49.32 / $52.17	Facility		$40.79	$49.32	$52.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $78.48	Professional		$9.36	$9.36	$78.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $51.52 / $53.54	Facility		$12.94	$51.52	$53.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $51.08 / $58.05	Professional		$21.89	$51.08	$58.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $22.76	Facility		$16.89	$16.89	$22.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $18.97 / $100.00	Facility		$16.89	$18.97	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $18.97 / $55.67	Professional		$11.13	$18.97	$55.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $37.19 / $85.00	Professional		$9.49	$37.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $22.76	Facility		$16.89	$16.89	$22.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $46.73 / $171.33	Professional		$23.19	$46.73	$171.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $37.94 / $100.00	Facility		$37.94	$37.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.57 / $18.55	Professional		$10.05	$12.57	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $55.97	Professional		$40.40	$40.40	$55.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $90.51 / $103.58	Professional		$55.97	$90.51	$103.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.61 / $51.99	Professional		$11.00	$15.61	$51.99