Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $39.64 / $1,114.74	Facility		$28.32	$39.64	$1,114.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $19.35 / $28.32	Professional		$15.34	$19.35	$28.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $61.36 / $64.90	Facility		$50.74	$61.36	$64.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $96.27	Professional		$9.44	$9.44	$96.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $57.68 / $59.94	Facility		$15.52	$57.68	$59.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $63.55 / $72.20	Professional		$27.26	$63.55	$72.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $15.84 / $28.32	Facility		$14.66	$15.84	$28.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $19.35 / $319.45	Facility		$14.66	$19.35	$319.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $19.71 / $48.30	Professional		$13.45	$19.71	$48.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $35.40 / $85.00	Professional		$11.80	$35.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $15.84 / $28.32	Facility		$14.66	$15.84	$28.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $57.82 / $164.71	Professional		$27.74	$57.82	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $47.20 / $319.45	Facility		$47.20	$47.20	$319.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.02 / $16.20	Professional		$10.78	$11.02	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $50.26	Professional		$16.93	$16.93	$50.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $128.86	Professional		$16.93	$16.93	$128.86
United Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Facility		$23.60	$23.60	$23.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.88 / $72.78	Professional		$12.74	$18.88	$72.78