Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $27.32 / $282.72	Facility		$14.70	$27.32	$282.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $10.91 / $14.70	Professional		$9.43	$10.91	$14.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $31.85 / $33.69	Facility		$26.34	$31.85	$33.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $49.00	Professional		$6.05	$6.05	$49.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $33.28 / $34.59	Facility		$9.84	$33.28	$34.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $32.99 / $37.49	Professional		$14.04	$32.99	$37.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $14.70	Facility		$10.92	$10.92	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $11.52 / $91.80	Facility		$10.05	$11.52	$91.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $9.80 / $27.23	Professional		$4.26	$9.80	$27.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $18.38 / $85.00	Professional		$6.13	$18.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $14.70	Facility		$10.92	$10.92	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $30.10 / $54.90	Professional		$14.98	$30.10	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $50.00 / $91.80	Facility		$24.50	$50.00	$91.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.17 / $12.02	Professional		$6.49	$8.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $35.52	Professional		$26.09	$26.09	$35.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $35.52 / $66.89	Professional		$25.67	$35.52	$66.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.35 / $27.23	Professional		$4.29	$7.35	$27.23