Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $36.72 / $54.59	Facility		$29.38	$36.72	$54.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $23.26 / $93.00	Professional		$20.07	$23.26	$93.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $63.65 / $67.31	Facility		$52.63	$63.65	$67.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $97.92	Professional		$9.78	$9.78	$97.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $59.83 / $62.18	Facility		$16.94	$59.83	$62.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $65.92 / $74.91	Professional		$28.08	$65.92	$74.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $29.38	Facility		$11.75	$12.69	$29.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.07 / $123.25	Facility		$11.75	$20.07	$123.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $16.48 / $44.06	Professional		$9.24	$16.48	$44.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $39.61 / $85.00	Professional		$12.24	$39.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $29.38	Facility		$11.75	$12.69	$29.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $60.19 / $82.22	Professional		$28.88	$60.19	$82.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $50.00 / $123.25	Facility		$48.96	$50.00	$123.25
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 $11.55 / $11.55 / $52.13	Professional		$11.55	$11.55	$52.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $53.24 / $133.66	Professional		$11.55	$53.24	$133.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.69 / $44.06	Professional		$9.41	$14.69	$44.06