Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.29 / $140.36	Facility		$17.38	$32.29	$140.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.61 / $42.67	Professional		$10.55	$13.61	$42.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $37.65 / $39.82	Facility		$31.13	$37.65	$39.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $59.07	Professional		$5.79	$5.79	$59.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $35.38 / $36.78	Facility		$9.23	$35.38	$36.78
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 $16.93 / $39.00 / $44.31	Professional		$16.93	$39.00	$44.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $10.45 / $17.38	Facility		$9.67	$10.45	$17.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $11.87 / $100.00	Facility		$9.67	$11.87	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.48 / $31.86	Professional		$8.40	$14.48	$31.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $21.72 / $85.00	Professional		$7.24	$21.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $10.45 / $17.38	Facility		$9.67	$10.45	$17.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $35.64 / $104.52	Professional		$17.10	$35.64	$104.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $28.96 / $100.00	Facility		$28.96	$28.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.26 / $10.72	Professional		$7.19	$7.26	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $30.84 / $36.67	Professional		$30.84	$30.84	$36.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $51.47 / $79.06	Professional		$36.67	$51.47	$79.06
United Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $11.58 / $26.95	Professional		$7.93	$11.58	$26.95