Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $42.46 / $445.72	Facility		$22.85	$42.46	$445.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.89 / $74.84	Professional		$14.08	$17.89	$74.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $49.50 / $52.36	Facility		$40.94	$49.50	$52.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $78.78	Professional		$9.40	$9.40	$78.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $51.71 / $53.75	Facility		$12.99	$51.71	$53.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $51.27 / $58.26	Professional		$21.89	$51.27	$58.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $22.85	Facility		$16.96	$16.96	$22.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $18.32 / $148.22	Facility		$15.61	$18.32	$148.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $19.04 / $52.74	Professional		$11.04	$19.04	$52.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $37.33 / $85.00	Professional		$9.52	$37.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $22.85	Facility		$16.96	$16.96	$22.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $46.73 / $164.71	Professional		$23.28	$46.73	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $38.08 / $148.22	Facility		$38.08	$38.08	$148.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $12.57 / $18.55	Professional		$10.09	$12.57	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $54.74	Professional		$40.54	$40.54	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $92.57 / $103.96	Professional		$54.74	$92.57	$103.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $16.07 / $42.75	Professional		$9.52	$16.07	$42.75