Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $39.36 / $332.42	Facility		$21.18	$39.36	$332.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $17.12 / $69.38	Professional		$14.47	$17.12	$69.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $45.89 / $48.54	Facility		$37.95	$45.89	$48.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $73.04	Professional		$8.72	$8.72	$73.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $47.93 / $49.81	Facility		$12.04	$47.93	$49.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $47.53 / $54.01	Professional		$20.65	$47.53	$54.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $21.18	Facility		$15.72	$15.72	$21.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $15.89 / $179.05	Facility		$14.47	$15.89	$179.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.64 / $48.89	Professional		$10.24	$17.64	$48.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $48.71 / $85.00	Professional		$8.83	$48.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $21.18	Facility		$15.72	$15.72	$21.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $43.56 / $153.76	Professional		$21.57	$43.56	$153.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $179.05	Facility		$35.29	$35.29	$179.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.60 / $17.25	Professional		$9.35	$11.60	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $54.74	Professional		$37.59	$37.59	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $96.37	Professional		$54.74	$54.74	$96.37
United Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $15.69 / $42.55	Facility		$15.69	$15.69	$42.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $14.53 / $51.79	Professional		$8.83	$14.53	$51.79