Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $19.47 / $28.95	Facility		$15.58	$19.47	$28.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.01 / $28.95	Professional		$9.99	$15.01	$28.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $33.75 / $35.70	Facility		$27.91	$33.75	$35.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $51.92	Professional		$6.41	$6.41	$51.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $35.27 / $36.65	Facility		$8.86	$35.27	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.96 / $39.72	Professional		$14.87	$34.96	$39.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $15.58	Facility		$11.57	$11.57	$15.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $11.68 / $171.26	Facility		$10.64	$11.68	$171.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.27 / $28.85	Professional		$4.79	$9.27	$28.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $19.47 / $85.00	Professional		$6.49	$19.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $15.58	Facility		$11.57	$11.57	$15.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $31.68 / $171.33	Professional		$15.87	$31.68	$171.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $25.96 / $171.26	Facility		$25.96	$25.96	$171.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.49 / $12.81	Professional		$6.88	$8.49	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $54.74	Professional		$27.64	$27.64	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $54.74 / $70.87	Professional		$29.34	$54.74	$70.87
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.79 / $24.16	Professional		$4.91	$7.79	$24.16