Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $64.34 / $599.04	Facility		$12.38	$64.34	$599.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.36 / $63.47	Professional		$8.46	$9.36	$63.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $26.83 / $28.38	Facility		$22.19	$26.83	$28.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $42.70	Professional		$5.09	$5.09	$42.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $28.03 / $29.13	Facility		$7.87	$28.03	$29.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.79 / $31.58	Professional		$11.98	$27.79	$31.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.38	Facility		$9.19	$9.19	$12.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $9.28 / $100.00	Facility		$8.46	$9.28	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $9.27 / $28.59	Professional		$6.06	$9.27	$28.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $36.42 / $85.00	Professional		$5.11	$36.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.38	Facility		$9.19	$9.19	$12.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $25.34 / $98.81	Professional		$12.62	$25.34	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $20.64 / $100.00	Facility		$20.64	$20.64	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.86 / $10.19	Professional		$5.47	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $26.36	Professional		$21.98	$21.98	$26.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $26.36 / $56.35	Professional		$26.36	$26.36	$56.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.43 / $25.55	Professional		$5.99	$8.43	$25.55