Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $29.45 / $438.24	Facility		$23.56	$29.45	$438.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.79 / $23.56	Professional		$17.07	$17.79	$23.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $51.04 / $53.98	Facility		$42.20	$51.04	$53.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $81.23	Professional		$9.69	$9.69	$81.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $53.30 / $55.40	Facility		$13.08	$53.30	$55.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.86 / $60.06	Professional		$22.72	$52.86	$60.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $23.56	Facility		$17.48	$17.48	$23.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $17.67 / $100.00	Facility		$16.10	$17.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $19.63 / $54.38	Professional		$11.78	$19.63	$54.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $38.48 / $85.00	Professional		$9.82	$38.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $23.56	Facility		$17.48	$17.48	$23.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.31 / $67.09	Professional		$23.99	$48.31	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $100.00	Facility		$39.26	$39.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $12.90 / $18.10	Professional		$10.40	$12.90	$18.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $41.80	Professional		$20.20	$20.20	$41.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $66.52 / $107.18	Professional		$20.20	$66.52	$107.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Facility		$19.63	$19.63	$19.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.45 / $53.80	Professional		$11.39	$16.45	$53.80