Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $26.78 / $299.12	Facility		$14.41	$26.78	$299.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $10.74 / $14.41	Professional		$8.89	$10.74	$14.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $31.23 / $33.03	Facility		$25.82	$31.23	$33.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $49.70	Professional		$5.93	$5.93	$49.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $32.63 / $33.90	Facility		$8.19	$32.63	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.34 / $36.75	Professional		$13.63	$32.34	$36.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $10.71 / $14.41	Facility		$10.71	$10.71	$14.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $10.81 / $132.00	Facility		$9.85	$10.81	$132.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $12.01 / $35.28	Professional		$7.06	$12.01	$35.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $23.57 / $85.00	Professional		$6.01	$23.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $10.71 / $14.41	Facility		$10.71	$10.71	$14.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $29.30 / $274.52	Professional		$14.69	$29.30	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $132.00	Facility		$24.02	$24.02	$132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.00 / $11.76	Professional		$6.37	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $25.58 / $96.10	Professional		$25.58	$25.58	$96.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $96.10 / $96.10	Professional		$60.60	$96.10	$96.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.15 / $43.24	Professional		$6.97	$10.15	$43.24