Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $25.59 / $38.04	Facility		$20.47	$25.59	$38.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.04 / $38.04	Professional		$10.53	$16.04	$38.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $44.36 / $46.92	Facility		$36.68	$44.36	$46.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $69.59	Professional		$6.82	$6.82	$69.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $41.70 / $43.33	Facility		$11.15	$41.70	$43.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $45.94 / $52.20	Professional		$19.82	$45.94	$52.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $11.16 / $20.47	Facility		$10.33	$11.16	$20.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $13.99 / $188.00	Facility		$10.33	$13.99	$188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $16.20 / $45.24	Professional		$9.49	$16.20	$45.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $40.93 / $85.00	Professional		$8.52	$40.93	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $11.16 / $20.47	Facility		$10.33	$11.16	$20.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $41.98 / $58.30	Professional		$20.14	$41.98	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $34.11 / $188.00	Facility		$34.11	$34.11	$188.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.75 / $11.24	Professional		$7.68	$7.75	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $36.33 / $103.00	Professional		$36.33	$36.33	$103.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $103.00 / $103.00	Professional		$49.58	$103.00	$103.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Facility		$20.47	$20.47	$20.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.65 / $45.24	Professional		$9.21	$13.65	$45.24