Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $39.92 / $276.54	Facility		$21.48	$39.92	$276.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $16.23 / $24.58	Professional		$14.68	$16.23	$24.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $46.54 / $49.23	Facility		$38.49	$46.54	$49.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $74.06	Professional		$8.84	$8.84	$74.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $48.61 / $50.52	Facility		$12.21	$48.61	$50.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.20 / $54.78	Professional		$20.65	$48.20	$54.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $21.48	Facility		$15.95	$15.95	$21.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $16.11 / $140.00	Facility		$14.68	$16.11	$140.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $17.89 / $49.58	Professional		$10.38	$17.89	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $35.10 / $85.00	Professional		$8.94	$35.10	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $21.48	Facility		$15.95	$15.95	$21.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.56 / $162.51	Professional		$21.88	$43.56	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $140.00	Facility		$35.79	$35.79	$140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.76 / $17.51	Professional		$9.49	$11.76	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $54.74	Professional		$38.11	$38.11	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $88.45 / $97.73	Professional		$54.74	$88.45	$97.73
United Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $14.32 / $17.89	Facility		$8.94	$14.32	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.77 / $49.05	Professional		$8.00	$14.77	$49.05