Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $28.98 / $43.08	Facility		$23.18	$28.98	$43.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $18.35 / $74.36	Professional		$15.84	$18.35	$74.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $50.23 / $53.13	Facility		$41.54	$50.23	$53.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $79.94	Professional		$9.34	$9.34	$79.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $51.34 / $53.37	Facility		$10.44	$51.34	$53.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.03 / $59.13	Professional		$22.30	$52.03	$59.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $23.18	Facility		$16.85	$16.85	$23.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $17.39 / $91.77	Facility		$15.84	$17.39	$91.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $19.32 / $55.50	Professional		$11.59	$19.32	$55.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $37.09 / $85.00	Professional		$9.56	$37.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $23.18	Facility		$16.85	$16.85	$23.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $46.28 / $66.00	Professional		$23.11	$46.28	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $91.77	Facility		$38.64	$38.64	$91.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.41 / $18.55	Professional		$10.24	$12.41	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $41.14 / $41.20	Professional		$41.14	$41.14	$41.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $105.49	Professional		$41.20	$41.20	$105.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.86 / $55.50	Professional		$11.10	$15.86	$55.50