Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $29.06 / $132.80	Facility		$15.64	$29.06	$132.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $12.25 / $22.85	Professional		$11.21	$12.25	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $33.88 / $35.83	Facility		$28.01	$33.88	$35.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $52.12	Professional		$6.43	$6.43	$52.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $35.36 / $36.75	Facility		$10.46	$35.36	$36.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $35.09 / $39.88	Professional		$14.87	$35.09	$39.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $15.64	Facility		$11.60	$11.60	$15.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.73 / $158.04	Facility		$10.68	$11.73	$158.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.42 / $28.94	Professional		$4.87	$10.42	$28.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $19.55 / $85.00	Professional		$6.52	$19.55	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $15.64	Facility		$11.60	$11.60	$15.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $31.68 / $64.67	Professional		$15.92	$31.68	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $27.69 / $158.04	Facility		$26.06	$27.69	$158.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.66 / $12.81	Professional		$6.91	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $27.75 / $122.57	Professional		$27.75	$27.75	$122.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $71.14 / $122.57	Professional		$29.34	$71.14	$122.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.82 / $24.25	Professional		$5.00	$7.82	$24.25