Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $40.34 / $59.96	Facility		$32.27	$40.34	$59.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $25.55 / $67.61	Professional		$22.05	$25.55	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.81 / $69.91 / $73.95	Facility		$57.81	$69.91	$73.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $109.68	Professional		$10.76	$10.76	$109.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $65.70 / $68.30	Facility		$17.30	$65.70	$68.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $72.41 / $82.29	Professional		$30.98	$72.41	$82.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.55 / $32.27	Facility		$15.32	$16.55	$32.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $22.05 / $127.73	Facility		$15.32	$22.05	$127.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $21.51 / $50.44	Professional		$13.45	$21.51	$50.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $40.34 / $85.00	Professional		$13.45	$40.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.55 / $32.27	Facility		$15.32	$16.55	$32.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $65.73 / $197.64	Professional		$31.54	$65.73	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $127.73	Facility		$53.78	$53.78	$127.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.49 / $16.73	Professional		$11.27	$11.49	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $57.26	Professional		$17.69	$17.69	$57.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $68.53 / $146.82	Professional		$17.69	$68.53	$146.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $18.86 / $50.44	Professional		$12.55	$18.86	$50.44