Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $40.34 / $164.14	Facility		$21.71	$40.34	$164.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $17.19 / $24.84	Professional		$14.83	$17.19	$24.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $47.03 / $49.75	Facility		$38.89	$47.03	$49.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $73.79	Professional		$10.85	$10.85	$73.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $44.21 / $45.95	Facility		$14.10	$44.21	$45.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $46.12 / $70.75	Facility		$39.47	$46.12	$70.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $53.99 / $61.35	Professional		$20.77	$53.99	$61.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $21.71	Facility		$11.53	$12.46	$21.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $14.83 / $100.00	Facility		$11.53	$14.83	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $18.09 / $37.99	Professional		$10.85	$18.09	$37.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $27.14 / $85.00	Professional		$9.05	$27.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $21.71	Facility		$11.53	$12.46	$21.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $44.35 / $92.26	Professional		$21.28	$44.35	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $50.00 / $100.00	Facility		$36.18	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $8.65 / $12.55	Professional		$8.49	$8.65	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $38.52	Professional		$25.75	$25.75	$38.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $98.77	Professional		$25.75	$25.75	$98.77
United Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $14.47 / $39.26	Facility		$14.47	$14.47	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $18.09 / $49.58	Professional		$10.85	$18.09	$49.58