Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $39.97 / $59.43	Facility		$31.98	$39.97	$59.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $25.05 / $59.43	Professional		$21.44	$25.05	$59.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $69.29 / $73.29	Facility		$57.30	$69.29	$73.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $110.27	Professional		$12.15	$12.15	$110.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $66.79 / $69.42	Facility		$17.87	$66.79	$69.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $85.30 / $130.85	Facility		$72.98	$85.30	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $71.76 / $81.55	Professional		$30.56	$71.76	$81.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $31.98	Facility		$21.90	$21.90	$31.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $23.66 / $126.59	Facility		$21.85	$23.66	$126.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $26.65 / $72.16	Professional		$15.46	$26.65	$72.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $48.21 / $85.00	Professional		$13.33	$48.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $31.98	Facility		$21.90	$21.90	$31.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $64.94 / $212.82	Professional		$31.16	$64.94	$212.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $53.30 / $126.59	Facility		$53.30	$53.30	$126.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $16.17 / $24.05	Professional		$14.12	$16.17	$24.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $56.75 / $195.70	Professional		$56.75	$56.75	$195.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $145.51 / $195.70	Professional		$98.06	$145.51	$195.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $26.65	Facility		$26.65	$26.65	$26.65
United Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $21.32 / $72.16	Professional		$13.33	$21.32	$72.16