Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $33.61 / $227.26	Facility		$26.89	$33.61	$227.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $21.07 / $54.85	Professional		$17.41	$21.07	$54.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $58.27 / $61.63	Facility		$48.18	$58.27	$61.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $91.42	Professional		$9.56	$9.56	$91.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $54.77 / $56.92	Facility		$14.95	$54.77	$56.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $60.35 / $68.58	Professional		$25.61	$60.35	$68.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.93 / $26.89	Facility		$17.23	$17.93	$26.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $18.62 / $147.81	Facility		$17.23	$18.62	$147.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.93 / $43.00	Professional		$11.21	$17.93	$43.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $33.61 / $85.00	Professional		$11.21	$33.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.93 / $26.89	Facility		$17.23	$17.93	$26.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $54.65 / $98.81	Professional		$26.22	$54.65	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $44.82 / $147.81	Facility		$44.82	$44.82	$147.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.74 / $18.82	Professional		$11.88	$12.74	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $47.72 / $53.66	Professional		$47.72	$47.72	$53.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $53.66 / $122.36	Professional		$53.66	$53.66	$122.36
United Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $22.41 / $22.41	Facility		$22.41	$22.41	$22.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.93 / $43.00	Professional		$11.21	$17.93	$43.00