Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $33.97 / $50.51	Facility		$27.18	$33.97	$50.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.52 / $89.03	Professional		$18.57	$21.52	$89.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $58.89 / $62.29	Facility		$48.70	$58.89	$62.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $93.72	Professional		$11.18	$11.18	$93.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $61.51 / $63.93	Facility		$15.46	$61.51	$63.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $61.00 / $69.31	Professional		$26.02	$61.00	$69.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $27.18	Facility		$20.17	$20.17	$27.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $20.39 / $139.00	Facility		$18.57	$20.39	$139.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.65 / $62.74	Professional		$13.59	$22.65	$62.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $44.40 / $85.00	Professional		$11.33	$44.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $27.18	Facility		$20.17	$20.17	$27.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $55.44 / $241.58	Professional		$30.58	$55.44	$241.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $45.30 / $139.00	Facility		$45.30	$45.30	$139.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.86 / $22.22	Professional		$12.00	$14.86	$22.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $48.23	Professional		$23.30	$23.30	$48.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $90.30 / $123.67	Professional		$23.30	$90.30	$123.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.00 / $66.47	Professional		$13.59	$22.00	$66.47