Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $31.50 / $70.86	Facility		$21.58	$31.50	$70.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $16.05 / $21.58	Professional		$14.74	$16.05	$21.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $46.75 / $49.45	Facility		$38.65	$46.75	$49.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $74.39	Professional		$8.88	$8.88	$74.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $48.80 / $50.72	Facility		$10.45	$48.80	$50.72
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 / $48.42 / $55.03	Professional		$20.65	$48.42	$55.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $16.01 / $21.58	Facility		$16.01	$16.01	$21.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $16.89 / $86.10	Facility		$14.74	$16.89	$86.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.18 / $49.80	Professional		$10.43	$15.18	$49.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $35.24 / $85.00	Professional		$8.99	$35.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $16.01 / $21.58	Facility		$16.01	$16.01	$21.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $44.35 / $95.31	Professional		$21.97	$44.35	$95.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $86.10	Facility		$35.96	$35.96	$86.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.92 / $17.51	Professional		$9.52	$11.92	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $54.22	Professional		$38.29	$38.29	$54.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $54.22 / $98.17	Professional		$54.22	$54.22	$98.17
United Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $43.33	Facility		$15.98	$15.98	$43.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $14.83 / $49.27	Professional		$8.99	$14.83	$49.27