Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $32.67 / $48.57	Facility		$26.14	$32.67	$48.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $20.69 / $62.78	Professional		$17.86	$20.69	$62.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $56.63 / $59.90	Facility		$46.83	$56.63	$59.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $88.85	Professional		$8.71	$8.71	$88.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $53.23 / $55.32	Facility		$17.07	$53.23	$55.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $58.65 / $66.65	Professional		$24.78	$58.65	$66.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $26.14	Facility		$10.89	$10.89	$26.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $17.86 / $103.46	Facility		$10.89	$17.86	$103.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.78 / $47.48	Professional		$12.63	$21.78	$47.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $55.00 / $85.00	Professional		$10.89	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $26.14	Facility		$10.89	$10.89	$26.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $51.68 / $72.48	Professional		$25.46	$51.68	$72.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $43.56 / $103.46	Facility		$43.56	$43.56	$103.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.91 / $10.91	Professional		$10.62	$10.91	$10.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $46.38	Professional		$16.43	$16.43	$46.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $63.68 / $118.92	Professional		$16.43	$63.68	$118.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $17.42 / $57.76	Professional		$12.63	$17.42	$57.76