Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $83.17 / $231.28	Facility		$18.38	$83.17	$231.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $13.91 / $35.00	Professional		$11.80	$13.91	$35.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $39.83 / $42.13	Facility		$32.94	$39.83	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $63.39	Professional		$7.57	$7.57	$63.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $41.62 / $43.26	Facility		$10.45	$41.62	$43.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.25 / $46.88	Professional		$17.35	$41.25	$46.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $18.38	Facility		$13.65	$13.65	$18.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $14.40 / $127.51	Facility		$12.56	$14.40	$127.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $15.32 / $42.44	Professional		$9.19	$15.32	$42.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $50.43 / $85.00	Professional		$7.58	$50.43	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $18.38	Facility		$13.65	$13.65	$18.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $37.22 / $71.53	Professional		$18.73	$37.22	$71.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $127.51	Facility		$30.64	$30.64	$127.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.13 / $14.90	Professional		$8.11	$10.13	$14.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $82.40	Professional		$32.61	$32.61	$82.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $82.40 / $83.65	Professional		$56.96	$82.40	$83.65
United Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $12.26 / $15.32	Facility		$7.66	$12.26	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $15.32 / $41.94	Professional		$8.89	$15.32	$41.94