Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $26.66 / $39.63	Facility		$21.32	$26.66	$39.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $16.88 / $29.23	Professional		$14.57	$16.88	$29.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $46.20 / $48.87	Facility		$38.21	$46.20	$48.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $71.08	Professional		$7.44	$7.44	$71.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $43.43 / $45.14	Facility		$11.85	$43.43	$45.14
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 / $47.85 / $54.38	Professional		$20.65	$47.85	$54.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.22 / $21.32	Facility		$13.43	$14.22	$21.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.57 / $100.00	Facility		$13.43	$14.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $10.90 / $33.50	Professional		$6.23	$10.90	$33.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $26.23 / $85.00	Professional		$8.89	$26.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.22 / $21.32	Facility		$13.43	$14.22	$21.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $43.56 / $142.77	Professional		$20.90	$43.56	$142.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $50.00 / $100.00	Facility		$35.54	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.96 / $14.64	Professional		$9.42	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $7.64 / $37.84	Professional		$7.64	$7.64	$37.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $25.17 / $97.02	Professional		$7.64	$25.17	$97.02
United Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $17.77 / $17.77	Facility		$17.77	$17.77	$17.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $10.66 / $33.50	Professional		$6.28	$10.66	$33.50