Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $26.01 / $38.67	Facility		$20.81	$26.01	$38.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.47 / $24.48	Professional		$14.22	$16.47	$24.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $45.08 / $47.69	Facility		$37.28	$45.08	$47.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $8.56 / $69.36	Professional		$8.56	$8.56	$69.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $47.07 / $48.92	Facility		$11.83	$47.07	$48.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $46.70 / $53.06	Professional		$20.23	$46.70	$53.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $20.81	Facility		$15.45	$15.45	$20.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $15.61 / $100.00	Facility		$14.22	$15.61	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $13.87 / $38.52	Professional		$5.14	$13.87	$38.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $21.97 / $85.00	Professional		$8.58	$21.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $20.81	Facility		$15.45	$15.45	$20.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $42.77 / $59.40	Professional		$21.19	$42.77	$59.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $100.00	Facility		$34.68	$34.68	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.43 / $16.98	Professional		$9.19	$11.43	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $36.93 / $54.59	Professional		$36.93	$36.93	$54.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $54.59 / $94.68	Professional		$31.44	$54.59	$94.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $10.40 / $32.28	Professional		$5.26	$10.40	$32.28