Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $25.28 / $37.58	Facility		$20.22	$25.28	$37.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.01 / $20.22	Professional		$13.82	$16.01	$20.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $43.81 / $46.34	Facility		$36.22	$43.81	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $68.73	Professional		$8.32	$8.32	$68.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $45.75 / $47.55	Facility		$13.53	$45.75	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.38 / $51.56	Professional		$19.41	$45.38	$51.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $13.98 / $20.22	Facility		$13.98	$13.98	$20.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $13.98 / $80.04	Facility		$13.82	$13.98	$80.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.85 / $43.68	Professional		$10.11	$16.85	$43.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $25.28 / $85.00	Professional		$8.34	$25.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $13.98 / $20.22	Facility		$13.98	$13.98	$20.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $41.02 / $57.20	Professional		$20.59	$41.02	$57.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $35.78 / $80.04	Facility		$33.70	$35.78	$80.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $9.47	Professional		$8.93	$8.93	$9.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $35.88	Professional		$35.88	$35.88	$35.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $92.00 / $92.00	Professional		$48.97	$92.00	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.48 / $43.68	Professional		$9.77	$12.48	$43.68