Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $34.46 / $51.22	Facility		$27.56	$34.46	$51.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $21.82 / $27.56	Professional		$18.84	$21.82	$27.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $59.72 / $63.17	Facility		$49.39	$59.72	$63.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $91.88	Professional		$9.19	$9.19	$91.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $56.14 / $58.34	Facility		$14.06	$56.14	$58.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $61.85 / $70.29	Professional		$26.43	$61.85	$70.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $16.55 / $27.56	Facility		$15.33	$16.55	$27.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $18.84 / $118.00	Facility		$15.33	$18.84	$118.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $14.55 / $41.35	Professional		$5.38	$14.55	$41.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $22.97 / $85.00	Professional		$11.37	$22.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $16.55 / $27.56	Facility		$15.33	$16.55	$27.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $56.23 / $76.81	Professional		$31.01	$56.23	$76.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $50.00 / $118.00	Facility		$45.94	$50.00	$118.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.50 / $16.73	Professional		$11.43	$11.50	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $48.92	Professional		$6.60	$6.60	$48.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $25.57 / $125.42	Professional		$6.60	$25.57	$125.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $13.78 / $41.35	Professional		$5.42	$13.78	$41.35