Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $40.61 / $60.37	Facility		$32.47	$40.61	$60.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $25.72 / $32.47	Professional		$22.20	$25.72	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $70.38 / $74.44	Facility		$58.20	$70.38	$74.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $108.28	Professional		$10.83	$10.83	$108.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $66.15 / $68.76	Facility		$17.04	$66.15	$68.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $43.65 / $82.84	Professional		$31.39	$43.65	$82.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $32.47	Facility		$7.67	$8.28	$32.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $22.20 / $128.58	Facility		$7.67	$22.20	$128.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $16.23 / $48.73	Professional		$6.20	$16.23	$48.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $40.61 / $85.00	Professional		$13.40	$40.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $32.47	Facility		$7.67	$8.28	$32.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $64.79 / $90.87	Professional		$31.92	$64.79	$90.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $128.58	Facility		$54.14	$54.14	$128.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.76 / $8.36	Professional		$5.72	$5.76	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $57.65	Professional		$7.75	$7.75	$57.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $45.25 / $147.80	Professional		$7.75	$45.25	$147.80
United Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $16.23 / $48.73	Professional		$6.36	$16.23	$48.73