Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $52.72 / $135.90	Facility		$28.37	$52.72	$135.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $20.93 / $32.46	Professional		$15.37	$20.93	$32.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $61.46 / $65.01	Facility		$50.83	$61.46	$65.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $97.82	Professional		$11.43	$11.43	$97.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $62.85 / $65.33	Facility		$16.05	$62.85	$65.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $63.66 / $72.34	Professional		$27.26	$63.66	$72.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $20.61 / $28.37	Facility		$20.61	$20.61	$28.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $23.28 / $112.29	Facility		$20.61	$23.28	$112.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $23.64 / $67.89	Professional		$13.71	$23.64	$67.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $45.37 / $85.00	Professional		$11.82	$45.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $20.61 / $28.37	Facility		$20.61	$20.61	$28.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $57.82 / $219.64	Professional		$28.29	$57.82	$219.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $47.28 / $112.29	Facility		$47.28	$47.28	$112.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $15.19 / $22.74	Professional		$12.53	$15.19	$22.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $50.34 / $58.30	Professional		$50.34	$50.34	$58.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $106.48 / $129.07	Professional		$58.30	$106.48	$129.07
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $19.39 / $65.48	Professional		$13.00	$19.39	$65.48