Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $26.72 / $143.00	Facility		$14.38	$26.72	$143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.85 / $23.36	Professional		$10.44	$13.85	$23.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $31.15 / $32.95	Facility		$25.76	$31.15	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $49.56	Professional		$5.92	$5.92	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $32.53 / $33.81	Facility		$9.61	$32.53	$33.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.26 / $36.65	Professional		$13.63	$32.26	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $11.26 / $192.84	Facility		$9.82	$11.26	$192.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.18	Professional		$7.19	$11.98	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.50 / $85.00	Professional		$5.99	$23.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $29.30 / $106.75	Professional		$14.64	$29.30	$106.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $28.56 / $192.84	Facility		$23.96	$28.56	$192.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.84 / $11.76	Professional		$6.35	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $25.51 / $56.08	Professional		$25.51	$25.51	$56.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $56.08 / $65.41	Professional		$56.08	$56.08	$65.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.11 / $32.83	Professional		$6.95	$10.11	$32.83