Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $28.37 / $42.17	Facility		$22.69	$28.37	$42.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.96 / $74.36	Professional		$15.51	$17.96	$74.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $49.17 / $52.00	Facility		$40.65	$49.17	$52.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $78.23	Professional		$9.34	$9.34	$78.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $51.34 / $53.37	Facility		$12.80	$51.34	$53.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.92 / $57.86	Professional		$21.48	$50.92	$57.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $22.69	Facility		$16.85	$16.85	$22.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $17.02 / $90.81	Facility		$15.51	$17.02	$90.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $18.91 / $52.38	Professional		$11.10	$18.91	$52.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $55.00 / $85.00	Professional		$9.36	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $22.69	Facility		$16.85	$16.85	$22.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $45.94 / $90.81	Professional		$23.11	$45.94	$90.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $50.00 / $90.81	Facility		$37.82	$50.00	$90.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.41 / $18.55	Professional		$10.02	$12.41	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $40.27	Professional		$19.46	$19.46	$40.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $103.25	Professional		$19.46	$19.46	$103.25
United Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $15.13 / $18.91	Facility		$9.46	$15.13	$18.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $15.13 / $46.83	Professional		$9.46	$15.13	$46.83