Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $31.58 / $46.94	Facility		$25.26	$31.58	$46.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $20.00 / $74.45	Professional		$17.26	$20.00	$74.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $54.73 / $57.89	Facility		$45.26	$54.73	$57.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $85.87	Professional		$9.35	$9.35	$85.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $51.44 / $53.47	Facility		$14.04	$51.44	$53.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $56.68 / $64.41	Professional		$24.37	$56.68	$64.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $25.26	Facility		$16.86	$16.86	$25.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $18.22 / $100.00	Facility		$16.86	$18.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.05 / $55.57	Professional		$12.63	$21.05	$55.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $37.12 / $85.00	Professional		$10.53	$37.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $25.26	Facility		$16.86	$16.86	$25.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $51.48 / $219.64	Professional		$24.70	$51.48	$219.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $42.10 / $100.00	Facility		$42.10	$42.10	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $12.57 / $18.55	Professional		$11.16	$12.57	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $44.83	Professional		$19.48	$19.48	$44.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $61.18 / $114.93	Professional		$19.48	$61.18	$114.93
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $16.84 / $55.57	Professional		$11.37	$16.84	$55.57