Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $27.09 / $40.27	Facility		$21.67	$27.09	$40.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $21.67 / $67.31	Professional		$14.81	$21.67	$67.31
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 $12.32 / $49.03 / $50.95	Facility		$12.32	$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 $16.25 / $18.53 / $21.67	Facility		$16.25	$18.53	$21.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $18.53 / $106.00	Facility		$14.81	$18.53	$106.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.05 / $50.03	Professional		$10.47	$18.05	$50.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $49.85 / $85.00	Professional		$9.02	$49.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $18.53 / $21.67	Facility		$16.25	$18.53	$21.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $44.35 / $98.75	Professional		$22.07	$44.35	$98.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $50.00 / $106.00	Facility		$36.11	$50.00	$106.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.72 / $20.39	Professional		$9.57	$13.72	$20.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $38.46	Professional		$17.61	$17.61	$38.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $68.23 / $98.61	Professional		$17.61	$68.23	$98.61
United Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $43.53	Facility		$16.05	$16.05	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.46 / $50.23	Professional		$9.02	$14.46	$50.23