Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $29.73 / $44.20	Facility		$23.78	$29.73	$44.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.82 / $62.52	Professional		$16.25	$18.82	$62.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $51.53 / $54.51	Facility		$42.61	$51.53	$54.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $80.84	Professional		$7.93	$7.93	$80.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $48.44 / $50.34	Facility		$13.21	$48.44	$50.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $53.37 / $60.65	Professional		$22.72	$53.37	$60.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $15.30 / $23.78	Facility		$14.17	$15.30	$23.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $16.25 / $129.00	Facility		$14.17	$16.25	$129.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $19.82 / $46.66	Professional		$11.61	$19.82	$46.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $31.18 / $85.00	Professional		$9.91	$31.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $15.30 / $23.78	Facility		$14.17	$15.30	$23.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $48.31 / $86.27	Professional		$23.18	$48.31	$86.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $50.00 / $129.00	Facility		$39.64	$50.00	$129.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $10.50 / $15.68	Professional		$10.45	$10.50	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $16.37 / $42.21	Professional		$16.37	$16.37	$42.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $63.41 / $108.22	Professional		$16.37	$63.41	$108.22
United Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Facility		$23.78	$23.78	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.86 / $52.56	Professional		$10.70	$15.86	$52.56