Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $36.27 / $53.92	Facility		$29.02	$36.27	$53.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $21.77 / $29.02	Professional		$20.79	$21.77	$29.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $62.87 / $66.50	Facility		$51.99	$62.87	$66.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $100.04	Professional		$11.94	$11.94	$100.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $65.67 / $68.25	Facility		$16.13	$65.67	$68.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $65.11 / $73.98	Professional		$28.08	$65.11	$73.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $21.54 / $29.02	Facility		$21.54	$21.54	$29.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.27 / $115.59	Facility		$19.82	$23.27	$115.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $24.18 / $66.98	Professional		$14.19	$24.18	$66.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $47.40 / $85.00	Professional		$12.09	$47.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $21.54 / $29.02	Facility		$21.54	$21.54	$29.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $59.40 / $171.33	Professional		$29.56	$59.40	$171.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $48.36 / $115.59	Facility		$48.36	$48.36	$115.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $16.00 / $23.52	Professional		$12.82	$16.00	$23.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $23.95 / $51.49	Professional		$23.95	$23.95	$51.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $23.95 / $132.02	Professional		$23.95	$23.95	$132.02
United Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.50 / $58.31	Facility		$21.50	$21.50	$58.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $19.89 / $66.27	Professional		$14.02	$19.89	$66.27