Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $36.45 / $54.19	Facility		$29.16	$36.45	$54.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $23.09 / $95.58	Professional		$19.93	$23.09	$95.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $63.18 / $66.83	Facility		$52.25	$63.18	$66.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $100.54	Professional		$12.00	$12.00	$100.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $66.01 / $68.61	Facility		$16.57	$66.01	$68.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $65.44 / $74.36	Professional		$28.08	$65.44	$74.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $21.65 / $29.16	Facility		$21.65	$21.65	$29.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $21.87 / $173.00	Facility		$19.93	$21.87	$173.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $24.30 / $67.31	Professional		$14.58	$24.30	$67.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $47.65 / $85.00	Professional		$12.15	$47.65	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $21.65 / $29.16	Facility		$21.65	$21.65	$29.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $59.40 / $329.46	Professional		$29.71	$59.40	$329.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $173.00	Facility		$48.60	$48.60	$173.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.00 / $23.78	Professional		$12.88	$16.00	$23.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $51.75	Professional		$25.01	$25.01	$51.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $122.59 / $132.68	Professional		$25.01	$122.59	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $20.00 / $60.17	Professional		$14.09	$20.00	$60.17