Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $30.33 / $45.09	Facility		$24.26	$30.33	$45.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.21 / $79.48	Professional		$16.57	$19.21	$79.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $52.57 / $55.61	Facility		$43.47	$52.57	$55.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $83.67	Professional		$9.99	$9.99	$83.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $54.92 / $57.07	Facility		$13.80	$54.92	$57.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $54.45 / $61.88	Professional		$23.54	$54.45	$61.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $24.26	Facility		$18.00	$18.00	$24.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $18.20 / $119.00	Facility		$16.57	$18.20	$119.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.22 / $56.01	Professional		$12.00	$20.22	$56.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $39.62 / $85.00	Professional		$10.11	$39.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $24.26	Facility		$18.00	$18.00	$24.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $49.90 / $197.64	Professional		$24.72	$49.90	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $40.44 / $119.00	Facility		$40.44	$40.44	$119.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.39 / $19.86	Professional		$10.72	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $43.06	Professional		$20.81	$20.81	$43.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $94.38 / $110.40	Professional		$20.81	$94.38	$110.40
United Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.67 / $55.41	Professional		$11.73	$16.67	$55.41