Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $30.98 / $46.05	Facility		$24.78	$30.98	$46.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $19.62 / $81.20	Professional		$16.93	$19.62	$81.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $53.69 / $56.79	Facility		$44.40	$53.69	$56.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $85.45	Professional		$10.19	$10.19	$85.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $56.09 / $58.29	Facility		$14.09	$56.09	$58.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $101.77	Facility		$56.77	$66.34	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $55.61 / $63.19	Professional		$23.95	$55.61	$63.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $24.78	Facility		$18.39	$18.39	$24.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $18.59 / $100.00	Facility		$16.93	$18.59	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $20.65 / $57.20	Professional		$12.12	$20.65	$57.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $40.48 / $85.00	Professional		$10.33	$40.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $24.78	Facility		$18.39	$18.39	$24.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $50.69 / $123.85	Professional		$25.25	$50.69	$123.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $41.30 / $100.00	Facility		$41.30	$41.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $13.55 / $20.12	Professional		$10.94	$13.55	$20.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $43.98	Professional		$21.25	$21.25	$43.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $112.75	Professional		$21.25	$21.25	$112.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $17.03 / $51.12	Professional		$10.33	$17.03	$51.12