Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $29.01 / $185.27	Facility		$15.61	$29.01	$185.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.80 / $17.86	Professional		$11.19	$11.80	$17.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $33.83 / $35.78	Facility		$27.97	$33.83	$35.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $52.04	Professional		$6.42	$6.42	$52.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $35.31 / $36.70	Facility		$10.44	$35.31	$36.70
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 / $35.04 / $39.81	Professional		$14.87	$35.04	$39.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $15.61	Facility		$11.58	$11.58	$15.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $12.52 / $108.48	Facility		$10.67	$12.52	$108.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.41 / $28.91	Professional		$4.87	$10.41	$28.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $19.52 / $85.00	Professional		$6.51	$19.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $15.61	Facility		$11.58	$11.58	$15.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $31.68 / $64.67	Professional		$15.90	$31.68	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $27.65 / $108.48	Facility		$26.02	$27.65	$108.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.66 / $12.81	Professional		$6.90	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $27.71 / $165.88	Professional		$27.71	$27.71	$165.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $71.03 / $165.88	Professional		$29.34	$71.03	$165.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.41 / $28.91	Professional		$5.00	$10.41	$28.91