Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $33.00 / $450.56	Facility		$17.76	$33.00	$450.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $13.32 / $17.76	Professional		$12.14	$13.32	$17.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $38.47 / $40.70	Facility		$31.82	$38.47	$40.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $61.23	Professional		$7.31	$7.31	$61.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $40.18 / $41.76	Facility		$11.69	$40.18	$41.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.85 / $45.29	Professional		$16.93	$39.85	$45.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $17.76	Facility		$13.18	$13.18	$17.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $13.32 / $162.06	Facility		$12.14	$13.32	$162.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $14.80 / $41.00	Professional		$8.69	$14.80	$41.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $29.01 / $85.00	Professional		$7.40	$29.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $17.76	Facility		$13.18	$13.18	$17.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $36.43 / $73.76	Professional		$18.07	$36.43	$73.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $50.00 / $162.06	Facility		$29.60	$50.00	$162.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $9.80 / $14.37	Professional		$7.84	$9.80	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $31.52 / $72.87	Professional		$31.52	$31.52	$72.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $72.87 / $80.81	Professional		$59.00	$72.87	$80.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $12.10 / $40.56	Professional		$7.40	$12.10	$40.56