Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $113.96 / $138.02	Facility		$16.07	$113.96	$138.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.12 / $18.38	Professional		$11.37	$12.12	$18.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $34.81 / $36.82	Facility		$28.79	$34.81	$36.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $55.40	Professional		$6.61	$6.61	$55.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $36.36 / $37.79	Facility		$9.14	$36.36	$37.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.06 / $40.98	Professional		$15.28	$36.06	$40.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $11.93 / $16.07	Facility		$11.93	$11.93	$16.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $12.05 / $100.00	Facility		$10.98	$12.05	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $13.39 / $37.09	Professional		$7.86	$13.39	$37.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $36.96 / $85.00	Professional		$6.70	$36.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $11.93 / $16.07	Facility		$11.93	$11.93	$16.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $32.47 / $109.82	Professional		$16.37	$32.47	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $100.00	Facility		$26.78	$26.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $8.82 / $13.07	Professional		$7.10	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $28.51 / $36.46	Professional		$28.51	$28.51	$36.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $36.46 / $73.11	Professional		$36.46	$36.46	$73.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.39 / $30.08	Professional		$7.77	$13.39	$30.08