Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $40.10 / $199.60	Facility		$21.58	$40.10	$199.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $16.29 / $21.58	Professional		$15.46	$16.29	$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 $16.18 / $16.36 / $21.58	Facility		$16.18	$16.36	$21.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $16.36 / $85.41	Facility		$14.74	$16.36	$85.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $17.98 / $53.13	Professional		$10.63	$17.98	$53.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $55.00 / $85.00	Professional		$8.99	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $16.36 / $21.58	Facility		$16.18	$16.36	$21.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $44.35 / $61.60	Professional		$21.97	$44.35	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $85.41	Facility		$35.96	$35.96	$85.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $11.92	Professional		$9.52	$9.52	$11.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $38.29	Professional		$18.50	$18.50	$38.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $98.17	Professional		$18.50	$18.50	$98.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.18 / $49.80	Professional		$10.43	$15.18	$49.80