Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $32.58 / $77.88	Facility		$17.53	$32.58	$77.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.61 / $81.00	Professional		$11.98	$14.61	$81.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $37.99 / $40.18	Facility		$31.41	$37.99	$40.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $5.84 / $59.60	Professional		$5.84	$5.84	$59.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $35.70 / $37.11	Facility		$10.89	$35.70	$37.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.35 / $44.71	Professional		$16.93	$39.35	$44.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $10.53 / $17.53	Facility		$9.74	$10.53	$17.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $11.98 / $102.56	Facility		$9.74	$11.98	$102.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $12.49 / $32.11	Professional		$8.47	$12.49	$32.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $21.92 / $85.00	Professional		$7.31	$21.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $10.53 / $17.53	Facility		$9.74	$10.53	$17.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $35.64 / $98.81	Professional		$17.10	$35.64	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $102.56	Facility		$29.22	$29.22	$102.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.32 / $10.72	Professional		$7.19	$7.32	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $48.41	Professional		$31.11	$31.11	$48.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $51.88 / $79.77	Professional		$43.62	$51.88	$79.77
United Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $14.61	Facility		$14.61	$14.61	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.69 / $32.11	Professional		$7.89	$11.69	$32.11