Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $18.07 / $45.32	Facility		$14.46	$18.07	$45.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $14.46 / $26.80	Professional		$9.88	$14.46	$26.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $31.33 / $33.14	Facility		$25.91	$31.33	$33.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $75.05	Professional		$7.36	$7.36	$75.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.39 / $30.61	Facility		$12.05	$18.39	$30.61
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 / $22.33 / $36.88	Professional		$13.63	$22.33	$36.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $14.46	Facility		$6.27	$6.27	$14.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $9.88 / $60.00	Facility		$6.27	$9.88	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.05 / $38.64	Professional		$7.23	$12.05	$38.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $17.72 / $85.00	Professional		$6.03	$17.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $14.46	Facility		$6.27	$6.27	$14.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $28.54 / $40.70	Professional		$15.90	$28.54	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.49 / $60.00	Facility		$24.10	$24.49	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $9.75	Professional		$5.89	$5.89	$9.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $39.18	Professional		$18.39	$18.39	$39.18
Security Health Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $110.95 / $126.78	Facility		$92.18	$110.95	$126.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $53.47 / $65.79	Professional		$18.39	$53.47	$65.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $14.46 / $33.11	Professional		$7.23	$14.46	$33.11