Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $32.99 / $49.04	Facility		$26.39	$32.99	$49.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $20.89 / $86.43	Professional		$18.03	$20.89	$86.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $57.17 / $60.47	Facility		$47.28	$57.17	$60.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $90.98	Professional		$10.86	$10.86	$90.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $59.71 / $62.05	Facility		$15.00	$59.71	$62.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $59.21 / $67.29	Professional		$25.19	$59.21	$67.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $26.39	Facility		$19.57	$19.57	$26.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $19.79 / $200.11	Facility		$18.03	$19.79	$200.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $21.99 / $60.91	Professional		$13.19	$21.99	$60.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $43.10 / $85.00	Professional		$11.00	$43.10	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $26.39	Facility		$19.57	$19.57	$26.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $53.86 / $219.64	Professional		$26.87	$53.86	$219.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $43.98 / $200.11	Facility		$43.98	$43.98	$200.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $14.53 / $21.43	Professional		$11.65	$14.53	$21.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $46.83	Professional		$22.62	$22.62	$46.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $120.07	Professional		$22.62	$22.62	$120.07
United Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $17.59 / $21.99	Facility		$11.00	$17.59	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $18.43 / $60.26	Professional		$12.75	$18.43	$60.26