Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $30.63 / $45.54	Facility		$24.50	$30.63	$45.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.19 / $80.25	Professional		$16.73	$19.19	$80.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $53.09 / $56.16	Facility		$43.90	$53.09	$56.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $84.49	Professional		$10.08	$10.08	$84.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $55.45 / $57.63	Facility		$13.93	$55.45	$57.63
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 $23.54 / $54.99 / $62.49	Professional		$23.54	$54.99	$62.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $24.50	Facility		$18.18	$18.18	$24.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $18.38 / $140.97	Facility		$16.73	$18.38	$140.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $20.42 / $56.56	Professional		$12.25	$20.42	$56.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $40.01 / $85.00	Professional		$10.21	$40.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $24.50	Facility		$18.18	$18.18	$24.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $49.90 / $209.08	Professional		$24.96	$49.90	$209.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $40.84 / $140.97	Facility		$40.84	$40.84	$140.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.39 / $19.86	Professional		$10.82	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $43.49	Professional		$21.01	$21.01	$43.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $111.49	Professional		$21.01	$21.01	$111.49
United Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $16.34 / $20.42	Facility		$10.21	$16.34	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $17.12 / $55.96	Professional		$10.21	$17.12	$55.96