Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $37.82 / $56.22	Facility		$30.25	$37.82	$56.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $23.95 / $92.58	Professional		$20.67	$23.95	$92.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $65.55 / $69.33	Facility		$54.20	$65.55	$69.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $104.31	Professional		$11.62	$11.62	$104.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $63.91 / $66.42	Facility		$16.94	$63.91	$66.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $124.38	Facility		$69.39	$81.08	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $67.88 / $77.14	Professional		$28.91	$67.88	$77.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $20.97 / $30.25	Facility		$20.97	$20.97	$30.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $22.66 / $119.75	Facility		$20.67	$22.66	$119.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $25.21 / $69.09	Professional		$14.62	$25.21	$69.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $46.16 / $85.00	Professional		$12.61	$46.16	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $20.97 / $30.25	Facility		$20.97	$20.97	$30.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $61.78 / $232.37	Professional		$29.64	$61.78	$232.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $50.42 / $119.75	Facility		$50.42	$50.42	$119.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $15.51 / $23.00	Professional		$13.36	$15.51	$23.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $24.22 / $53.69	Professional		$24.22	$24.22	$53.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $113.14 / $137.65	Professional		$24.22	$113.14	$137.65
United Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $56.75	Facility		$20.92	$20.92	$56.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $19.88 / $58.29	Professional		$12.61	$19.88	$58.29