Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $29.10 / $43.26	Facility		$23.28	$29.10	$43.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $18.43 / $76.25	Professional		$15.91	$18.43	$76.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $50.44 / $53.35	Facility		$41.71	$50.44	$53.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $80.27	Professional		$9.58	$9.58	$80.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $52.66 / $54.74	Facility		$13.23	$52.66	$54.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.24 / $59.36	Professional		$22.30	$52.24	$59.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $23.28	Facility		$17.28	$17.28	$23.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $17.46 / $100.00	Facility		$15.91	$17.46	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $19.39 / $53.74	Professional		$11.39	$19.39	$53.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $53.54 / $85.00	Professional		$9.69	$53.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $23.28	Facility		$17.28	$17.28	$23.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $47.52 / $197.64	Professional		$23.71	$47.52	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $100.00	Facility		$38.79	$38.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.74 / $19.07	Professional		$10.28	$12.74	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $41.31	Professional		$19.96	$19.96	$41.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $56.38 / $105.92	Professional		$19.96	$56.38	$105.92
United Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Facility		$19.39	$19.39	$19.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.97 / $48.04	Professional		$10.00	$15.97	$48.04