Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $71.38 / $176.00	Facility		$20.54	$71.38	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.88 / $20.54	Professional		$11.13	$14.88	$20.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $44.51 / $47.08	Facility		$36.81	$44.51	$47.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $69.84	Professional		$8.46	$8.46	$69.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $46.50 / $48.34	Facility		$11.42	$46.50	$48.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.10 / $52.39	Professional		$19.82	$46.10	$52.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.54	Facility		$15.26	$15.26	$20.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $16.48 / $81.39	Facility		$14.04	$16.48	$81.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $15.51 / $41.48	Professional		$9.93	$15.51	$41.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $27.72 / $85.00	Professional		$8.56	$27.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.54	Facility		$15.26	$15.26	$20.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $41.98 / $164.71	Professional		$20.93	$41.98	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $34.24 / $81.39	Facility		$34.24	$34.24	$81.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $11.27 / $16.73	Professional		$9.07	$11.27	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $36.46 / $64.68	Professional		$36.46	$36.46	$64.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $64.68 / $93.48	Professional		$53.24	$64.68	$93.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $13.70 / $38.04	Professional		$8.56	$13.70	$38.04