Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $35.32 / $207.46	Facility		$19.01	$35.32	$207.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.89 / $62.29	Professional		$12.99	$14.89	$62.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $41.18 / $43.56	Facility		$34.06	$41.18	$43.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $65.54	Professional		$7.82	$7.82	$65.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $43.01 / $44.70	Facility		$12.30	$43.01	$44.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.66 / $48.48	Professional		$18.17	$42.66	$48.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.12 / $19.01	Facility		$14.12	$14.12	$19.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $14.26 / $114.75	Facility		$12.99	$14.26	$114.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.84 / $43.88	Professional		$9.30	$15.84	$43.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $31.06 / $85.00	Professional		$7.92	$31.06	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.12 / $19.01	Facility		$14.12	$14.12	$19.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $38.81 / $54.90	Professional		$19.36	$38.81	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $33.65 / $114.75	Facility		$31.68	$33.65	$114.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.45 / $15.42	Professional		$8.40	$10.45	$15.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $33.72 / $70.40	Professional		$33.72	$33.72	$70.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $70.40 / $86.49	Professional		$63.15	$70.40	$86.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $12.95 / $46.49	Professional		$7.92	$12.95	$46.49