Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $36.77 / $54.66	Facility		$29.41	$36.77	$54.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $23.04 / $29.41	Professional		$20.10	$23.04	$29.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $63.73 / $67.40	Facility		$52.70	$63.73	$67.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $101.41	Professional		$12.10	$12.10	$101.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $66.54 / $69.16	Facility		$16.72	$66.54	$69.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $66.00 / $75.00	Professional		$28.08	$66.00	$75.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $29.41	Facility		$21.82	$21.82	$29.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $22.06 / $116.76	Facility		$20.10	$22.06	$116.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $24.51 / $67.89	Professional		$14.38	$24.51	$67.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $48.03 / $85.00	Professional		$12.26	$48.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $29.41	Facility		$21.82	$21.82	$29.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $60.19 / $197.64	Professional		$29.95	$60.19	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $49.02 / $116.76	Facility		$49.02	$49.02	$116.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $16.17 / $24.05	Professional		$12.99	$16.17	$24.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $52.20 / $78.52	Professional		$52.20	$52.20	$78.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $101.64 / $133.82	Professional		$78.52	$101.64	$133.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $20.69 / $55.01	Professional		$12.26	$20.69	$55.01