Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $24.78 / $36.84	Facility		$19.82	$24.78	$36.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $15.69 / $64.95	Professional		$13.55	$15.69	$64.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $42.95 / $45.43	Facility		$35.52	$42.95	$45.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $68.34	Professional		$8.16	$8.16	$68.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $44.84 / $46.61	Facility		$11.27	$44.84	$46.61
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 / $44.48 / $50.55	Professional		$19.00	$44.48	$50.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $19.82	Facility		$14.72	$14.72	$19.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $14.87 / $100.00	Facility		$13.55	$14.87	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $16.52 / $45.76	Professional		$9.91	$16.52	$45.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $32.39 / $85.00	Professional		$8.26	$32.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $19.82	Facility		$14.72	$14.72	$19.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $40.39 / $186.68	Professional		$20.19	$40.39	$186.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $33.04 / $100.00	Facility		$33.04	$33.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.94 / $16.20	Professional		$8.76	$10.94	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $35.18	Professional		$17.00	$17.00	$35.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $90.20	Professional		$17.00	$17.00	$90.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $16.52 / $48.49	Professional		$9.91	$16.52	$48.49