Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $30.56 / $45.43	Facility		$24.44	$30.56	$45.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $19.14 / $24.44	Professional		$16.70	$19.14	$24.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $52.96 / $56.02	Facility		$43.80	$52.96	$56.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $81.48	Professional		$8.15	$8.15	$81.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $49.78 / $51.74	Facility		$10.45	$49.78	$51.74
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 $23.17 / $29.43 / $62.34	Professional		$23.17	$29.43	$62.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.37 / $24.44	Facility		$4.05	$4.37	$24.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $16.70 / $100.00	Facility		$4.05	$16.70	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $12.22 / $36.67	Professional		$3.75	$12.22	$36.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $30.56 / $85.00	Professional		$10.08	$30.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.37 / $24.44	Facility		$4.05	$4.37	$24.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $49.90 / $68.15	Professional		$23.94	$49.90	$68.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.00 / $100.00	Facility		$40.74	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.03 / $4.44	Professional		$2.94	$3.03	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $43.38	Professional		$4.69	$4.69	$43.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $111.22	Professional		$4.69	$4.69	$111.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $12.22 / $37.92	Professional		$3.84	$12.22	$37.92