Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $27.42 / $40.76	Facility		$21.94	$27.42	$40.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.18 / $34.89	Professional		$14.99	$17.18	$34.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $47.53 / $50.27	Facility		$39.29	$47.53	$50.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $73.38	Professional		$9.02	$9.02	$73.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $49.64 / $51.59	Facility		$12.47	$49.64	$51.59
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 / $49.23 / $55.94	Professional		$21.06	$49.23	$55.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $21.94	Facility		$16.29	$16.29	$21.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $16.45 / $189.00	Facility		$14.99	$16.45	$189.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $14.62 / $40.61	Professional		$7.30	$14.62	$40.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $27.42 / $85.00	Professional		$9.14	$27.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $21.94	Facility		$16.29	$16.29	$21.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $45.14 / $81.73	Professional		$22.34	$45.14	$81.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $189.00	Facility		$36.56	$36.56	$189.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.08 / $17.77	Professional		$9.69	$12.08	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $38.93 / $46.74	Professional		$38.93	$38.93	$46.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $51.43 / $99.81	Professional		$44.75	$51.43	$99.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $12.40 / $40.61	Professional		$7.44	$12.40	$40.61