Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $30.75 / $94.10	Facility		$16.55	$30.75	$94.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $16.55 / $33.51	Professional		$11.17	$16.55	$33.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $35.85 / $37.92	Facility		$29.65	$35.85	$37.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $56.25	Professional		$6.17	$6.17	$56.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $33.92 / $35.26	Facility		$10.84	$33.92	$35.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.14 / $42.20	Professional		$16.11	$37.14	$42.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $16.55	Facility		$11.14	$11.14	$16.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $12.41 / $150.44	Facility		$11.14	$12.41	$150.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.32 / $32.93	Professional		$8.00	$12.32	$32.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $22.00 / $85.00	Professional		$6.90	$22.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $16.55	Facility		$11.14	$11.14	$16.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $34.06 / $54.90	Professional		$16.34	$34.06	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $27.58 / $150.44	Facility		$27.58	$27.58	$150.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $8.17 / $12.28	Professional		$7.31	$8.17	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $29.37	Professional		$18.89	$18.89	$29.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $39.08 / $75.29	Professional		$18.89	$39.08	$75.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $9.41 / $27.78	Professional		$6.90	$9.41	$27.78