Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $118.80 / $502.48	Facility		$24.38	$118.80	$502.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $17.72 / $24.38	Professional		$17.46	$17.72	$24.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $52.83 / $55.88	Facility		$43.69	$52.83	$55.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $84.08	Professional		$10.03	$10.03	$84.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $55.19 / $57.35	Facility		$16.30	$55.19	$57.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $54.71 / $62.18	Professional		$23.54	$54.71	$62.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $24.38	Facility		$18.10	$18.10	$24.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $19.55 / $129.00	Facility		$16.66	$19.55	$129.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.32 / $55.48	Professional		$12.00	$20.32	$55.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $37.08 / $85.00	Professional		$10.16	$37.08	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $24.38	Facility		$18.10	$18.10	$24.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $49.90 / $166.90	Professional		$24.84	$49.90	$166.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $48.43 / $129.00	Facility		$40.64	$48.43	$129.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $13.39 / $19.86	Professional		$10.77	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $32.75 / $43.27	Professional		$32.75	$32.75	$43.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $95.47 / $110.95	Professional		$32.75	$95.47	$110.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $15.97 / $46.81	Professional		$11.79	$15.97	$46.81