Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $26.51 / $356.62	Facility		$14.27	$26.51	$356.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.30 / $46.76	Professional		$9.75	$11.30	$46.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $30.91 / $32.70	Facility		$25.56	$30.91	$32.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $49.19	Professional		$5.87	$5.87	$49.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $32.29 / $33.54	Facility		$8.08	$32.29	$33.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.02 / $36.39	Professional		$13.63	$32.02	$36.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $14.27	Facility		$10.59	$10.59	$14.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $10.70 / $116.00	Facility		$9.75	$10.70	$116.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $11.89 / $32.94	Professional		$6.98	$11.89	$32.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $23.32 / $85.00	Professional		$5.95	$23.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $14.27	Facility		$10.59	$10.59	$14.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $29.30 / $60.17	Professional		$14.53	$29.30	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $116.00	Facility		$23.78	$23.78	$116.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.84 / $11.76	Professional		$6.30	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $25.32 / $71.06	Professional		$25.32	$25.32	$71.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $71.06 / $71.06	Professional		$47.40	$71.06	$71.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $9.81 / $32.58	Professional		$5.95	$9.81	$32.58