Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $22.82 / $299.86	Facility		$18.25	$22.82	$299.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $14.30 / $22.85	Professional		$12.47	$14.30	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $39.54 / $41.83	Facility		$32.70	$39.54	$41.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $60.84	Professional		$7.51	$7.51	$60.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $41.30 / $42.93	Facility		$11.93	$41.30	$42.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $40.95 / $46.54	Professional		$17.35	$40.95	$46.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $13.55 / $18.25	Facility		$13.55	$13.55	$18.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $13.69 / $86.70	Facility		$12.47	$13.69	$86.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $11.24 / $33.79	Professional		$4.87	$11.24	$33.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $22.82 / $85.00	Professional		$7.61	$22.82	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $13.55 / $18.25	Facility		$13.55	$13.55	$18.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $37.22 / $73.76	Professional		$18.59	$37.22	$73.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $32.32 / $86.70	Facility		$30.42	$32.32	$86.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.96 / $14.90	Professional		$8.06	$9.96	$14.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.39 / $71.28	Professional		$32.39	$32.39	$71.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $71.28 / $83.05	Professional		$29.34	$71.28	$83.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $9.13 / $28.31	Professional		$4.91	$9.13	$28.31