Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $25.79 / $38.33	Facility		$20.63	$25.79	$38.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $16.32 / $67.61	Professional		$14.10	$16.32	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $44.69 / $47.27	Facility		$36.96	$44.69	$47.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $8.49 / $71.12	Professional		$8.49	$8.49	$71.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $46.68 / $48.51	Facility		$11.73	$46.68	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.29 / $52.60	Professional		$19.82	$46.29	$52.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $20.63	Facility		$15.32	$15.32	$20.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $15.47 / $217.00	Facility		$14.10	$15.47	$217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $17.19 / $47.62	Professional		$10.09	$17.19	$47.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $33.70 / $85.00	Professional		$8.60	$33.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $20.63	Facility		$15.32	$15.32	$20.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $41.98 / $76.87	Professional		$21.01	$41.98	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $34.38 / $217.00	Facility		$34.38	$34.38	$217.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.27 / $16.73	Professional		$9.11	$11.27	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $36.61	Professional		$17.69	$17.69	$36.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $68.53 / $93.86	Professional		$17.69	$68.53	$93.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $14.18 / $47.11	Professional		$9.97	$14.18	$47.11