Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $142.56 / $267.72	Facility		$28.23	$142.56	$267.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $19.44 / $28.09	Professional		$10.43	$19.44	$28.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $53.20 / $56.27	Facility		$43.99	$53.20	$56.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $81.84	Professional		$8.18	$8.18	$81.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $50.00 / $51.97	Facility		$13.58	$50.00	$51.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $45.00 / $62.61	Professional		$23.54	$45.00	$62.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.68 / $24.55	Facility		$8.02	$8.68	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $24.55 / $120.60	Facility		$8.02	$24.55	$120.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $12.60 / $36.83	Professional		$7.42	$12.60	$36.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $31.81 / $85.00	Professional		$10.23	$31.81	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.68 / $24.55	Facility		$8.02	$8.68	$24.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $49.69 / $68.15	Professional		$23.94	$49.69	$68.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $40.92 / $100.00	Facility		$40.92	$40.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $6.03 / $8.89	Professional		$5.88	$6.03	$8.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $37.08 / $43.57	Professional		$37.08	$37.08	$43.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $59.46 / $111.71	Professional		$37.08	$59.46	$111.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.60 / $63.10	Professional		$7.56	$12.60	$63.10