Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $37.71 / $172.86	Facility		$20.29	$37.71	$172.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $15.34 / $30.28	Professional		$14.52	$15.34	$30.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $43.97 / $46.50	Facility		$36.36	$43.97	$46.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.35 / $69.97	Professional		$8.35	$8.35	$69.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $45.92 / $47.73	Facility		$13.57	$45.92	$47.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.54 / $51.75	Professional		$19.41	$45.54	$51.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $20.29	Facility		$15.06	$15.06	$20.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $15.22 / $100.00	Facility		$13.87	$15.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $16.91 / $46.84	Professional		$10.15	$16.91	$46.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $55.00 / $85.00	Professional		$8.46	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $20.29	Facility		$15.06	$15.06	$20.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $41.18 / $197.64	Professional		$20.67	$41.18	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $40.31 / $100.00	Facility		$33.82	$40.31	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.11 / $16.47	Professional		$8.96	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $36.01 / $231.70	Professional		$36.01	$36.01	$231.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $92.33 / $231.70	Professional		$67.42	$92.33	$231.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.28 / $41.85	Professional		$9.81	$14.28	$41.85