Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.77 / $115.18	Facility		$12.90	$28.77	$115.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $15.48 / $25.80	Professional		$10.58	$15.48	$25.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $33.54 / $35.47	Facility		$27.74	$33.54	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $51.60	Professional		$6.37	$6.37	$51.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $35.04 / $36.42	Facility		$10.36	$35.04	$36.42
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 / $34.74 / $39.47	Professional		$14.87	$34.74	$39.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $15.48	Facility		$11.50	$11.50	$15.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $12.42 / $90.95	Facility		$10.58	$12.42	$90.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.32 / $28.67	Professional		$4.87	$10.32	$28.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $19.35 / $85.00	Professional		$6.45	$19.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $15.48	Facility		$11.50	$11.50	$15.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $31.68 / $44.00	Professional		$15.77	$31.68	$44.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $27.41 / $90.95	Facility		$25.80	$27.41	$90.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $8.49 / $12.55	Professional		$6.84	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $27.47	Professional		$18.85	$18.85	$27.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $70.43	Professional		$18.85	$18.85	$70.43
United Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $10.32 / $12.90	Facility		$6.45	$10.32	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.74 / $28.67	Professional		$4.91	$7.74	$28.67