Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $33.78 / $50.22	Facility		$27.02	$33.78	$50.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $21.39 / $88.52	Professional		$18.47	$21.39	$88.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $58.55 / $61.93	Facility		$48.42	$58.55	$61.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $93.17	Professional		$11.12	$11.12	$93.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $61.15 / $63.55	Facility		$15.37	$61.15	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $60.64 / $68.91	Professional		$26.02	$60.64	$68.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $27.02	Facility		$20.05	$20.05	$27.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $20.27 / $119.00	Facility		$18.47	$20.27	$119.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $22.52 / $66.05	Professional		$13.51	$22.52	$66.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $55.00 / $85.00	Professional		$11.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $27.02	Facility		$20.05	$20.05	$27.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $55.44 / $158.15	Professional		$27.52	$55.44	$158.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $45.04 / $119.00	Facility		$45.04	$45.04	$119.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.86 / $21.95	Professional		$11.94	$14.86	$21.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $47.96	Professional		$23.17	$23.17	$47.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $65.45 / $122.96	Professional		$23.17	$65.45	$122.96
United Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Facility		$22.52	$22.52	$22.52
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.87 / $66.05	Professional		$13.06	$18.87	$66.05