Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $41.01 / $263.08	Facility		$22.07	$41.01	$263.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $17.29 / $41.01	Professional		$15.08	$17.29	$41.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $47.81 / $50.57	Facility		$39.54	$47.81	$50.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $76.09	Professional		$9.08	$9.08	$76.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $49.96 / $51.92	Facility		$12.55	$49.96	$51.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.52 / $56.28	Professional		$21.06	$49.52	$56.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $22.07	Facility		$15.80	$15.80	$22.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.80 / $104.14	Facility		$15.08	$15.80	$104.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.39 / $53.97	Professional		$11.03	$18.39	$53.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $36.07 / $85.00	Professional		$9.19	$36.07	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $22.07	Facility		$15.80	$15.80	$22.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $45.14 / $62.83	Professional		$22.48	$45.14	$62.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $104.14	Facility		$36.78	$36.78	$104.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.08 / $18.03	Professional		$9.75	$12.08	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $18.92 / $39.15	Professional		$18.92	$18.92	$39.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $53.45 / $100.41	Professional		$18.92	$53.45	$100.41
United Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.17 / $53.97	Professional		$10.67	$15.17	$53.97