Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $34.70 / $51.58	Facility		$27.76	$34.70	$51.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $21.97 / $87.92	Professional		$18.97	$21.97	$87.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $14.10 / $95.71	Professional		$11.04	$14.10	$95.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.13 / $60.73	Facility		$11.63	$23.13	$60.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $74.77 / $114.69	Facility		$63.98	$74.77	$114.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $62.28 / $76.06	Professional		$26.85	$62.28	$76.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $27.76	Facility		$21.41	$21.41	$27.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $21.41 / $182.22	Facility		$18.97	$21.41	$182.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $23.13 / $64.06	Professional		$13.88	$23.13	$64.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $54.84 / $85.00	Professional		$11.57	$54.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $27.76	Facility		$21.41	$21.41	$27.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $96.25 / $135.22	Professional		$47.50	$96.25	$135.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $46.26 / $182.22	Facility		$46.26	$46.26	$182.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $19.75 / $36.07	Professional		$12.26	$19.75	$36.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $23.01 / $49.26	Professional		$23.01	$23.01	$49.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $106.05 / $126.29	Professional		$23.01	$106.05	$126.29
United Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Facility		$23.13	$23.13	$23.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $18.50 / $63.39	Professional		$13.42	$18.50	$63.39