Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $19.32 / $28.72	Facility		$15.46	$19.32	$28.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $15.46 / $57.55	Professional		$10.56	$15.46	$57.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $33.49 / $35.42	Facility		$27.69	$33.49	$35.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $51.52	Professional		$6.36	$6.36	$51.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $34.97 / $36.35	Facility		$10.34	$34.97	$36.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.68 / $39.40	Professional		$14.87	$34.68	$39.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.46	Facility		$11.48	$11.48	$15.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $12.11 / $182.58	Facility		$10.56	$12.11	$182.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.30 / $28.62	Professional		$4.87	$10.30	$28.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $19.32 / $85.00	Professional		$6.44	$19.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.46	Facility		$11.48	$11.48	$15.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $31.68 / $60.17	Professional		$15.74	$31.68	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $27.37 / $182.58	Facility		$25.76	$27.37	$182.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.49 / $12.55	Professional		$6.83	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $27.43 / $198.79	Professional		$27.43	$27.43	$198.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $198.79 / $198.79	Professional		$29.34	$198.79	$198.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.98 / $35.68	Professional		$5.00	$7.98	$35.68