Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $39.31 / $161.50	Facility		$21.16	$39.31	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.57 / $40.27	Professional		$14.46	$16.57	$40.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $45.84 / $48.48	Facility		$37.90	$45.84	$48.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $72.94	Professional		$8.71	$8.71	$72.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $47.88 / $49.76	Facility		$12.03	$47.88	$49.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $47.48 / $53.95	Professional		$20.65	$47.48	$53.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $21.16	Facility		$15.71	$15.71	$21.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $15.87 / $100.00	Facility		$14.46	$15.87	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $17.63 / $48.84	Professional		$10.35	$17.63	$48.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $34.57 / $85.00	Professional		$8.82	$34.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $21.16	Facility		$15.71	$15.71	$21.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $43.56 / $60.50	Professional		$21.55	$43.56	$60.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $35.26 / $100.00	Facility		$35.26	$35.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.60 / $17.25	Professional		$9.34	$11.60	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $33.53 / $37.54	Professional		$33.53	$33.53	$37.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $51.24 / $96.26	Professional		$33.53	$51.24	$96.26
United Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $15.67 / $42.51	Facility		$15.67	$15.67	$42.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $14.51 / $48.32	Professional		$8.82	$14.51	$48.32