Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $32.22 / $47.90	Facility		$25.78	$32.22	$47.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.41 / $84.46	Professional		$17.61	$20.41	$84.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $55.85 / $59.07	Facility		$46.18	$55.85	$59.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $88.87	Professional		$10.61	$10.61	$88.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $58.33 / $60.63	Facility		$14.65	$58.33	$60.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.84 / $65.73	Professional		$24.37	$57.84	$65.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $25.78	Facility		$19.13	$19.13	$25.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $19.32 / $138.00	Facility		$17.61	$19.32	$138.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $21.48 / $59.50	Professional		$12.46	$21.48	$59.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $42.12 / $85.00	Professional		$10.74	$42.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $25.78	Facility		$19.13	$19.13	$25.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $52.27 / $107.82	Professional		$26.26	$52.27	$107.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $42.96 / $138.00	Facility		$42.96	$42.96	$138.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.21 / $20.91	Professional		$11.38	$14.21	$20.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $45.74	Professional		$22.10	$22.10	$45.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $117.28	Professional		$22.10	$22.10	$117.28
United Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.18 / $21.48	Facility		$10.74	$17.18	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $17.68 / $58.87	Professional		$9.02	$17.68	$58.87