Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $39.36 / $58.52	Facility		$31.49	$39.36	$58.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $24.93 / $92.72	Professional		$21.52	$24.93	$92.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $68.22 / $72.16	Facility		$56.42	$68.22	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $107.04	Professional		$11.65	$11.65	$107.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $64.12 / $66.65	Facility		$17.50	$64.12	$66.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $84.24 / $129.22	Facility		$72.09	$84.24	$129.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $70.66 / $80.30	Professional		$30.15	$70.66	$80.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $21.01 / $31.49	Facility		$21.01	$21.01	$31.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $22.69 / $124.64	Facility		$21.01	$22.69	$124.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $25.88 / $69.20	Professional		$15.22	$25.88	$69.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $48.63 / $85.00	Professional		$13.12	$48.63	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $21.01 / $31.49	Facility		$21.01	$21.01	$31.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $64.15 / $114.64	Professional		$30.78	$64.15	$114.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $124.64	Facility		$52.48	$52.48	$124.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.51 / $23.00	Professional		$13.91	$15.51	$23.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $24.26 / $55.88	Professional		$24.26	$24.26	$55.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $76.26 / $143.27	Professional		$24.26	$76.26	$143.27
United Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Facility		$26.24	$26.24	$26.24
United Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $20.99 / $69.20	Professional		$13.12	$20.99	$69.20