Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $45.14 / $394.02	Facility		$24.29	$45.14	$394.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $18.04 / $24.29	Professional		$14.97	$18.04	$24.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $52.62 / $55.66	Facility		$43.52	$52.62	$55.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $83.75	Professional		$9.99	$9.99	$83.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $54.96 / $57.12	Facility		$13.81	$54.96	$57.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $54.51 / $61.94	Professional		$23.54	$54.51	$61.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $24.29	Facility		$18.03	$18.03	$24.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $18.22 / $109.00	Facility		$16.60	$18.22	$109.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $20.23 / $56.06	Professional		$12.14	$20.23	$56.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $55.00 / $85.00	Professional		$10.11	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $24.29	Facility		$18.03	$18.03	$24.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $49.90 / $162.51	Professional		$24.74	$49.90	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $109.00	Facility		$40.47	$40.47	$109.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $13.39 / $19.86	Professional		$10.73	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $78.89	Professional		$43.10	$43.10	$78.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $78.89 / $110.51	Professional		$78.89	$78.89	$110.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $17.09 / $55.47	Professional		$11.74	$17.09	$55.47