Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $28.28 / $195.62	Facility		$15.22	$28.28	$195.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.35 / $15.22	Professional		$9.09	$11.35	$15.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $32.97 / $34.86	Facility		$27.26	$32.97	$34.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $50.72	Professional		$6.26	$6.26	$50.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $34.43 / $35.79	Facility		$10.18	$34.43	$35.79
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 $14.46 / $34.14 / $38.79	Professional		$14.46	$34.14	$38.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $11.31 / $15.22	Facility		$11.31	$11.31	$15.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $11.41 / $86.53	Facility		$10.40	$11.41	$86.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.14 / $28.19	Professional		$4.87	$10.14	$28.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $19.02 / $85.00	Professional		$6.34	$19.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $11.31 / $15.22	Facility		$11.31	$11.31	$15.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $30.89 / $175.71	Professional		$15.50	$30.89	$175.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $26.96 / $86.53	Facility		$25.36	$26.96	$86.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.33 / $12.55	Professional		$6.72	$8.33	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $35.52	Professional		$27.00	$27.00	$35.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $35.52 / $69.23	Professional		$29.34	$35.52	$69.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.61 / $28.19	Professional		$4.91	$7.61	$28.19