Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $24.68 / $36.68	Facility		$19.73	$24.68	$36.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.46 / $64.69	Professional		$13.49	$15.46	$64.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $42.77 / $45.24	Facility		$35.36	$42.77	$45.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $68.06	Professional		$8.11	$8.11	$68.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $44.68 / $46.43	Facility		$11.22	$44.68	$46.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.30 / $50.34	Professional		$19.00	$44.30	$50.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $19.73	Facility		$14.66	$14.66	$19.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.81 / $295.85	Facility		$13.49	$14.81	$295.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.45 / $45.57	Professional		$9.86	$16.45	$45.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $45.40 / $85.00	Professional		$8.23	$45.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $19.73	Facility		$14.66	$14.66	$19.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $40.39 / $70.34	Professional		$20.11	$40.39	$70.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $295.85	Facility		$32.90	$32.90	$295.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $10.78 / $16.20	Professional		$8.72	$10.78	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $35.03 / $82.40	Professional		$35.03	$35.03	$82.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $82.40 / $89.82	Professional		$65.59	$82.40	$89.82
United Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Facility		$16.45	$16.45	$16.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $13.80 / $45.08	Professional		$9.53	$13.80	$45.08