Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $32.00 / $81.18	Facility		$17.22	$32.00	$81.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $13.01 / $17.22	Professional		$11.05	$13.01	$17.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $37.31 / $39.46	Facility		$30.85	$37.31	$39.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $59.38	Professional		$7.08	$7.08	$59.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $38.96 / $40.49	Facility		$9.78	$38.96	$40.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.64 / $43.91	Professional		$16.52	$38.64	$43.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $12.78 / $17.22	Facility		$12.78	$12.78	$17.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $12.92 / $102.00	Facility		$11.77	$12.92	$102.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.35 / $39.75	Professional		$8.42	$14.35	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $50.62 / $85.00	Professional		$7.10	$50.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $12.78 / $17.22	Facility		$12.78	$12.78	$17.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $34.85 / $160.31	Professional		$17.53	$34.85	$160.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $28.70 / $102.00	Facility		$28.70	$28.70	$102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $9.47 / $14.11	Professional		$7.61	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $65.45	Professional		$30.56	$30.56	$65.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $65.45 / $78.34	Professional		$65.45	$65.45	$78.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.03 / $39.33	Professional		$8.00	$12.03	$39.33