Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $34.32 / $195.84	Facility		$18.47	$34.32	$195.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.95 / $18.47	Professional		$13.42	$13.95	$18.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $40.01 / $42.32	Facility		$33.09	$40.01	$42.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $62.78	Professional		$7.60	$7.60	$62.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $41.79 / $43.43	Facility		$11.74	$41.79	$43.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.44 / $47.09	Professional		$17.76	$41.44	$47.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $13.71 / $18.47	Facility		$13.71	$13.71	$18.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $13.85 / $111.86	Facility		$12.62	$13.85	$111.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $12.31 / $34.20	Professional		$7.70	$12.31	$34.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $23.09 / $85.00	Professional		$7.70	$23.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $13.71 / $18.47	Facility		$13.71	$13.71	$18.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $38.02 / $83.44	Professional		$18.80	$38.02	$83.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $33.28 / $111.86	Facility		$30.78	$33.28	$111.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $10.13 / $15.16	Professional		$8.16	$10.13	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $32.77 / $35.02	Professional		$32.77	$32.77	$35.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $35.02 / $84.03	Professional		$35.02	$35.02	$84.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $12.31 / $34.20	Professional		$7.28	$12.31	$34.20