Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $32.13 / $229.22	Facility		$17.28	$32.13	$229.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.06 / $19.78	Professional		$9.36	$13.06	$19.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.47 / $39.63	Facility		$30.98	$37.47	$39.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $58.79	Professional		$7.11	$7.11	$58.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $39.11 / $40.67	Facility		$11.46	$39.11	$40.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.81 / $44.10	Professional		$16.93	$38.81	$44.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $12.83 / $17.29	Facility		$12.83	$12.83	$17.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $13.86 / $72.25	Facility		$11.82	$13.86	$72.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $14.02 / $37.46	Professional		$8.36	$14.02	$37.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $25.04 / $85.00	Professional		$7.21	$25.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $12.83 / $17.29	Facility		$12.83	$12.83	$17.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $35.64 / $49.50	Professional		$17.61	$35.64	$49.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $30.61 / $72.25	Facility		$28.82	$30.61	$72.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.47 / $14.11	Professional		$7.64	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $30.69	Professional		$10.35	$10.35	$30.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $78.68	Professional		$10.35	$10.35	$78.68
United Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Facility		$14.41	$14.41	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $11.53 / $32.00	Professional		$7.21	$11.53	$32.00