Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $29.55 / $108.46	Facility		$15.90	$29.55	$108.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.80 / $15.90	Professional		$11.38	$11.80	$15.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $34.45 / $36.44	Facility		$28.49	$34.45	$36.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $54.83	Professional		$6.54	$6.54	$54.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $35.97 / $37.39	Facility		$10.64	$35.97	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.68 / $40.54	Professional		$15.28	$35.68	$40.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.90	Facility		$11.80	$11.80	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $11.93 / $100.00	Facility		$10.87	$11.93	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.25 / $36.70	Professional		$7.95	$13.25	$36.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $36.57 / $85.00	Professional		$6.63	$36.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.90	Facility		$11.80	$11.80	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $32.47 / $68.06	Professional		$16.19	$32.47	$68.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $31.59 / $100.00	Facility		$26.50	$31.59	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.82 / $13.07	Professional		$7.02	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $28.22	Professional		$20.09	$20.09	$28.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $72.34	Professional		$20.09	$20.09	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.60 / $31.11	Professional		$7.69	$10.60	$31.11