Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $24.51 / $36.44	Facility		$19.61	$24.51	$36.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $15.52 / $37.38	Professional		$13.40	$15.52	$37.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $42.48 / $44.94	Facility		$35.13	$42.48	$44.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $66.65	Professional		$6.54	$6.54	$66.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $39.93 / $41.50	Facility		$10.28	$39.93	$41.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.00 / $50.00	Professional		$19.00	$44.00	$50.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.17 / $19.61	Facility		$8.17	$8.17	$19.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $13.40 / $77.62	Facility		$8.17	$13.40	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $13.07 / $29.41	Professional		$7.83	$13.07	$29.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $33.56 / $85.00	Professional		$8.17	$33.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.17 / $19.61	Facility		$8.17	$8.17	$19.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.39 / $92.26	Professional		$19.38	$40.39	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $32.68 / $77.62	Facility		$32.68	$32.68	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.36 / $9.41	Professional		$6.21	$6.36	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $34.79	Professional		$9.78	$9.78	$34.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $89.22	Professional		$9.78	$9.78	$89.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $8.17 / $13.07	Facility		$7.18	$8.17	$13.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $10.00 / $30.42	Professional		$7.83	$10.00	$30.42