Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $26.85 / $39.92	Facility		$21.48	$26.85	$39.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $17.01 / $68.87	Professional		$14.68	$17.01	$68.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $46.54 / $49.23	Facility		$38.49	$46.54	$49.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $74.06	Professional		$8.66	$8.66	$74.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $47.58 / $49.45	Facility		$12.15	$47.58	$49.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.20 / $54.78	Professional		$20.65	$48.20	$54.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $21.48	Facility		$15.60	$15.60	$21.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $16.11 / $100.00	Facility		$14.68	$16.11	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.89 / $49.58	Professional		$10.74	$17.89	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $49.40 / $85.00	Professional		$8.94	$49.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $21.48	Facility		$15.60	$15.60	$21.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $43.56 / $136.16	Professional		$21.42	$43.56	$136.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $100.00	Facility		$35.79	$35.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.60 / $17.25	Professional		$9.49	$11.60	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $63.56	Professional		$38.11	$38.11	$63.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $82.28 / $97.73	Professional		$63.56	$82.28	$97.73
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.45 / $43.36	Professional		$10.38	$14.45	$43.36