Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $44.52 / $66.19	Facility		$35.61	$44.52	$66.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $28.20 / $116.69	Professional		$24.34	$28.20	$116.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $77.17 / $81.62	Facility		$63.81	$77.17	$81.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $122.80	Professional		$14.66	$14.66	$122.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $80.59 / $83.77	Facility		$23.82	$80.59	$83.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $147.00	Facility		$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $79.93 / $90.83	Professional		$34.28	$79.93	$90.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $35.61	Facility		$15.73	$15.73	$35.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $24.34 / $141.54	Facility		$15.73	$24.34	$141.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $29.68 / $82.21	Professional		$17.42	$29.68	$82.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $55.00 / $85.00	Professional		$14.69	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $35.61	Facility		$15.73	$15.73	$35.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $72.86 / $104.43	Professional		$36.28	$72.86	$104.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $70.77 / $141.54	Facility		$59.36	$70.77	$141.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.60 / $29.01	Professional		$15.73	$19.60	$29.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $63.20	Professional		$30.53	$30.53	$63.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $162.05	Professional		$30.53	$30.53	$162.05
United Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $26.38 / $71.56	Facility		$26.38	$26.38	$71.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $24.88 / $73.48	Professional		$14.84	$24.88	$73.48