Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $27.09 / $100.98	Facility		$21.67	$27.09	$100.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $17.16 / $70.98	Professional		$14.81	$17.16	$70.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $46.96 / $49.67	Facility		$38.83	$46.96	$49.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $74.72	Professional		$8.92	$8.92	$74.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $49.03 / $50.95	Facility		$10.84	$49.03	$50.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.63 / $55.26	Professional		$20.65	$48.63	$55.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.67	Facility		$16.07	$16.07	$21.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $16.25 / $135.00	Facility		$14.81	$16.25	$135.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.05 / $52.98	Professional		$10.84	$18.05	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $27.09 / $85.00	Professional		$9.02	$27.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.67	Facility		$16.07	$16.07	$21.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $44.17 / $61.60	Professional		$22.07	$44.17	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $135.00	Facility		$36.11	$36.11	$135.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.92 / $17.77	Professional		$9.57	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $38.46	Professional		$36.04	$36.04	$38.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $71.98 / $98.61	Professional		$36.04	$71.98	$98.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $52.98	Professional		$10.47	$15.14	$52.98