Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $80.95 / $201.96	Facility		$15.89	$80.95	$201.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $22.94 / $24.00	Professional		$11.56	$22.94	$24.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $34.42 / $36.40	Facility		$28.47	$34.42	$36.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $54.79	Professional		$6.54	$6.54	$54.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $35.95 / $37.36	Facility		$10.63	$35.95	$37.36
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 $15.28 / $35.65 / $40.51	Professional		$15.28	$35.65	$40.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.89	Facility		$11.80	$11.80	$15.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $12.45 / $83.15	Facility		$10.59	$12.45	$83.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.24 / $38.86	Professional		$7.77	$13.24	$38.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $46.74 / $85.00	Professional		$6.55	$46.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.89	Facility		$11.80	$11.80	$15.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $32.47 / $98.81	Professional		$16.18	$32.47	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $28.14 / $83.15	Facility		$26.48	$28.14	$83.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.66 / $13.07	Professional		$7.02	$8.66	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $99.81	Professional		$28.20	$28.20	$99.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $90.56 / $99.81	Professional		$52.78	$90.56	$99.81
United Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $11.77 / $31.92	Facility		$11.77	$11.77	$31.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $10.90 / $36.28	Professional		$6.62	$10.90	$36.28