Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.35 / $40.65	Facility		$21.88	$27.35	$40.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $17.32 / $51.85	Professional		$14.95	$17.32	$51.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $47.40 / $50.13	Facility		$39.19	$47.40	$50.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $74.36	Professional		$7.29	$7.29	$74.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $44.56 / $46.30	Facility		$12.93	$44.56	$46.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $49.09 / $55.79	Professional		$20.65	$49.09	$55.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $21.88	Facility		$11.75	$12.69	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.95 / $116.00	Facility		$11.75	$14.95	$116.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.58 / $38.70	Professional		$9.63	$14.58	$38.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $27.35 / $85.00	Professional		$9.11	$27.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $21.88	Facility		$11.75	$12.69	$21.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $44.35 / $73.55	Professional		$21.28	$44.35	$73.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $36.46 / $116.00	Facility		$36.46	$36.46	$116.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.82 / $12.81	Professional		$8.66	$8.82	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $38.82	Professional		$13.57	$13.57	$38.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $52.98 / $99.54	Professional		$13.57	$52.98	$99.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.58 / $33.93	Professional		$9.11	$14.58	$33.93