Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $31.91 / $47.43	Facility		$25.52	$31.91	$47.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $20.21 / $75.22	Professional		$17.44	$20.21	$75.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $55.30 / $58.49	Facility		$45.73	$55.30	$58.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $86.77	Professional		$9.44	$9.44	$86.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $51.98 / $54.03	Facility		$14.19	$51.98	$54.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.28 / $65.09	Professional		$24.37	$57.28	$65.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $17.04 / $25.52	Facility		$17.04	$17.04	$25.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $18.41 / $101.03	Facility		$17.04	$18.41	$101.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $21.00 / $56.13	Professional		$12.34	$21.00	$56.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $55.00 / $85.00	Professional		$10.64	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $17.04 / $25.52	Facility		$17.04	$17.04	$25.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $52.27 / $219.64	Professional		$25.08	$52.27	$219.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $50.00 / $101.03	Facility		$42.54	$50.00	$101.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.57 / $18.82	Professional		$11.27	$12.57	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $45.30	Professional		$19.69	$19.69	$45.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $96.53 / $116.13	Professional		$19.69	$96.53	$116.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $17.02 / $56.13	Professional		$10.64	$17.02	$56.13