Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $59.53 / $74.67	Facility		$14.18	$59.53	$74.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.56 / $14.18	Professional		$8.47	$10.56	$14.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $30.73 / $32.51	Facility		$25.41	$30.73	$32.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $5.84 / $48.13	Professional		$5.84	$5.84	$48.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $32.11 / $33.38	Facility		$9.49	$32.11	$33.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $31.83 / $36.18	Professional		$13.63	$31.83	$36.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $14.18	Facility		$10.53	$10.53	$14.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $10.64 / $73.00	Facility		$9.69	$10.64	$73.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $9.46 / $26.28	Professional		$4.87	$9.46	$26.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $17.73 / $85.00	Professional		$5.91	$17.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $14.18	Facility		$10.53	$10.53	$14.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.30 / $56.01	Professional		$14.45	$29.30	$56.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $25.12 / $73.00	Facility		$23.64	$25.12	$73.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.84 / $11.50	Professional		$6.26	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $25.17 / $31.93	Professional		$25.17	$25.17	$31.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $34.35 / $64.54	Professional		$29.34	$34.35	$64.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.53 / $26.28	Professional		$4.91	$8.53	$26.28