Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $37.61 / $676.28	Facility		$20.23	$37.61	$676.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.86 / $29.92	Professional		$15.00	$15.86	$29.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $43.86 / $46.39	Facility		$36.27	$43.86	$46.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $68.81	Professional		$8.33	$8.33	$68.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $45.80 / $47.60	Facility		$11.51	$45.80	$47.60
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 $19.41 / $45.43 / $51.63	Professional		$19.41	$45.43	$51.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $20.23	Facility		$15.02	$15.02	$20.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $15.86 / $168.67	Facility		$13.83	$15.86	$168.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.87 / $42.27	Professional		$10.11	$16.87	$42.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $29.71 / $85.00	Professional		$8.44	$29.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $20.23	Facility		$15.02	$15.02	$20.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $41.18 / $71.40	Professional		$20.61	$41.18	$71.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $33.74 / $168.67	Facility		$33.74	$33.74	$168.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.11 / $16.47	Professional		$8.94	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $74.59	Professional		$35.93	$35.93	$74.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $74.59 / $92.11	Professional		$57.46	$74.59	$92.11
United Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Facility		$20.23	$20.23	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.87 / $37.49	Professional		$9.77	$16.87	$37.49