Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $63.36 / $169.20	Facility		$18.10	$63.36	$169.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.15 / $18.10	Professional		$10.56	$13.15	$18.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $39.21 / $41.47	Facility		$32.42	$39.21	$41.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $61.52	Professional		$7.44	$7.44	$61.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $40.94 / $42.55	Facility		$12.10	$40.94	$42.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $40.61 / $46.15	Professional		$17.35	$40.61	$46.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $13.57 / $100.00	Facility		$12.37	$13.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.32 / $33.50	Professional		$7.79	$12.32	$33.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $22.62 / $85.00	Professional		$7.54	$22.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $37.22 / $230.61	Professional		$18.43	$37.22	$230.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $35.92 / $100.00	Facility		$30.16	$35.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.96 / $14.64	Professional		$7.99	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $66.06	Professional		$32.11	$32.11	$66.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $66.06 / $82.34	Professional		$51.22	$66.06	$82.34
United Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $36.35	Facility		$13.40	$13.40	$36.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $12.06 / $33.50	Professional		$7.54	$12.06	$33.50