Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $45.22 / $145.80	Facility		$24.34	$45.22	$145.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.39 / $24.34	Professional		$15.00	$18.39	$24.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $52.73 / $55.77	Facility		$43.60	$52.73	$55.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $81.12	Professional		$10.02	$10.02	$81.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $55.06 / $57.23	Facility		$13.84	$55.06	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $54.62 / $62.06	Professional		$23.54	$54.62	$62.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $24.34	Facility		$18.05	$18.05	$24.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $19.52 / $100.00	Facility		$16.63	$19.52	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $16.22 / $45.07	Professional		$5.99	$16.22	$45.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $30.42 / $85.00	Professional		$10.03	$30.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $24.34	Facility		$18.05	$18.05	$24.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $49.69 / $69.30	Professional		$24.78	$49.69	$69.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $100.00	Facility		$40.56	$40.56	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.39 / $19.86	Professional		$10.75	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $55.88	Professional		$43.19	$43.19	$55.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $55.88 / $110.73	Professional		$36.69	$55.88	$110.73
United Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $48.89	Facility		$18.02	$18.02	$48.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.17 / $45.07	Professional		$6.08	$12.17	$45.07