Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $41.28 / $1,358.50	Facility		$20.00	$41.28	$1,358.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $15.11 / $75.55	Professional		$8.84	$15.11	$75.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $43.34 / $45.84	Facility		$35.84	$43.34	$45.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $68.97	Professional		$8.23	$8.23	$68.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $45.26 / $47.04	Facility		$11.37	$45.26	$47.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $44.89 / $51.01	Professional		$19.41	$44.89	$51.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $20.00	Facility		$14.85	$14.85	$20.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $15.67 / $138.18	Facility		$13.67	$15.67	$138.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.67 / $46.18	Professional		$10.00	$16.67	$46.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $46.01 / $85.00	Professional		$8.34	$46.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $20.00	Facility		$14.85	$14.85	$20.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $41.18 / $97.29	Professional		$20.37	$41.18	$97.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $33.34 / $138.18	Facility		$33.34	$33.34	$138.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.94 / $16.20	Professional		$8.84	$10.94	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $35.50	Professional		$25.44	$25.44	$35.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $91.02	Professional		$25.44	$25.44	$91.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $13.97 / $37.46	Professional		$9.67	$13.97	$37.46