Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $38.27 / $38.27	Facility		$20.59	$38.27	$38.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $16.13 / $67.47	Professional		$14.07	$16.13	$67.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $44.62 / $47.19	Facility		$36.89	$44.62	$47.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $71.00	Professional		$8.48	$8.48	$71.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $46.61 / $48.44	Facility		$13.77	$46.61	$48.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.21 / $52.51	Professional		$19.82	$46.21	$52.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $20.59	Facility		$15.28	$15.28	$20.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $15.44 / $103.00	Facility		$14.07	$15.44	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $17.16 / $47.53	Professional		$10.07	$17.16	$47.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $33.64 / $85.00	Professional		$8.58	$33.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $20.59	Facility		$15.28	$15.28	$20.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $41.98 / $69.23	Professional		$20.98	$41.98	$69.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.32 / $36.46 / $103.00	Facility		$34.32	$36.46	$103.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.27 / $16.73	Professional		$9.09	$11.27	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $36.54 / $141.44	Professional		$36.54	$36.54	$141.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $93.69 / $141.44	Professional		$68.41	$93.69	$141.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $14.39 / $61.78	Professional		$8.58	$14.39	$61.78