Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $27.79 / $253.29	Facility		$14.95	$27.79	$253.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $11.84 / $48.99	Professional		$10.22	$11.84	$48.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $32.40 / $34.27	Facility		$26.79	$32.40	$34.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.15 / $51.55	Professional		$6.15	$6.15	$51.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $33.83 / $35.15	Facility		$10.00	$33.83	$35.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $33.54 / $38.13	Professional		$14.46	$33.54	$38.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $14.95	Facility		$11.10	$11.10	$14.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $11.21 / $338.00	Facility		$10.22	$11.21	$338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $12.46 / $34.51	Professional		$7.48	$12.46	$34.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $34.39 / $85.00	Professional		$6.23	$34.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $14.95	Facility		$11.10	$11.10	$14.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $30.89 / $164.71	Professional		$15.22	$30.89	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $29.71 / $338.00	Facility		$24.92	$29.71	$338.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $12.28 / $12.28	Professional		$8.17	$12.28	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $26.53	Professional		$12.82	$12.82	$26.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $49.67 / $68.03	Professional		$12.82	$49.67	$68.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.52 / $34.15	Professional		$7.23	$10.52	$34.15