Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $37.65 / $40.79	Facility		$20.27	$37.65	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $16.05 / $56.60	Professional		$13.85	$16.05	$56.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.91 / $46.45	Facility		$36.31	$43.91	$46.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $68.89	Professional		$7.11	$7.11	$68.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $41.28 / $42.90	Facility		$13.25	$41.28	$42.90
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 $19.41 / $45.49 / $51.69	Professional		$19.41	$45.49	$51.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $20.27	Facility		$8.44	$8.44	$20.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $15.20 / $80.23	Facility		$8.44	$15.20	$80.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.89 / $41.56	Professional		$9.90	$16.89	$41.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $46.62 / $85.00	Professional		$8.44	$46.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $20.27	Facility		$8.44	$8.44	$20.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $41.02 / $57.20	Professional		$19.76	$41.02	$57.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $33.78 / $80.23	Facility		$33.78	$33.78	$80.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $9.47	Professional		$8.94	$8.94	$9.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $14.81 / $35.97	Professional		$14.81	$14.81	$35.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $48.76 / $92.22	Professional		$14.81	$48.76	$92.22
United Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.51 / $36.65	Facility		$13.51	$13.51	$36.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.69 / $41.56	Professional		$9.11	$14.69	$41.56