Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $41.66 / $278.20	Facility		$22.42	$41.66	$278.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.55 / $28.95	Professional		$16.05	$17.55	$28.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $48.57 / $51.37	Facility		$40.15	$48.57	$51.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $76.20	Professional		$9.23	$9.23	$76.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $50.74 / $52.73	Facility		$12.75	$50.74	$52.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.30 / $57.16	Professional		$21.48	$50.30	$57.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $22.42	Facility		$16.64	$16.64	$22.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.80 / $155.00	Facility		$15.32	$16.80	$155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $14.94 / $41.53	Professional		$8.60	$14.94	$41.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $28.02 / $85.00	Professional		$9.34	$28.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $22.42	Facility		$16.64	$16.64	$22.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $45.94 / $65.70	Professional		$22.84	$45.94	$65.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $155.00	Facility		$37.36	$37.36	$155.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.41 / $18.30	Professional		$9.90	$12.41	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $144.41	Professional		$39.78	$39.78	$144.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $144.41 / $144.41	Professional		$52.55	$144.41	$144.41
United Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $22.42	Facility		$22.42	$22.42	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $14.56 / $41.53	Professional		$8.57	$14.56	$41.53