Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $33.22 / $180.17	Facility		$17.88	$33.22	$180.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.16 / $22.22	Professional		$12.22	$14.16	$22.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $38.74 / $40.98	Facility		$32.04	$38.74	$40.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $59.60	Professional		$7.36	$7.36	$59.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $40.47 / $42.06	Facility		$10.17	$40.47	$42.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.13 / $45.60	Professional		$16.93	$40.13	$45.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $17.88	Facility		$13.26	$13.26	$17.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $13.41 / $91.80	Facility		$12.22	$13.41	$91.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $11.92 / $33.11	Professional		$4.65	$11.92	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $19.95 / $85.00	Professional		$7.45	$19.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $17.88	Facility		$13.26	$13.26	$17.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $36.43 / $73.76	Professional		$18.22	$36.43	$73.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $91.80	Facility		$29.80	$29.80	$91.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $9.80 / $14.64	Professional		$7.90	$9.80	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $93.32	Professional		$31.73	$31.73	$93.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $93.32 / $93.32	Professional		$22.52	$93.32	$93.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $11.92 / $27.73	Professional		$4.74	$11.92	$27.73