Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $79.42 / $102.87	Facility		$36.40	$79.42	$102.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.17 / $17.98	Professional		$11.69	$16.17	$17.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $46.75 / $49.45	Facility		$38.65	$46.75	$49.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $74.39	Professional		$8.88	$8.88	$74.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $48.80 / $50.72	Facility		$13.71	$48.80	$50.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Professional		$17.98	$17.98	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.42 / $55.03	Professional		$20.65	$48.42	$55.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $16.01 / $21.58	Facility		$16.01	$16.01	$21.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $17.98 / $86.10	Facility		$16.01	$17.98	$86.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $17.98 / $49.80	Professional		$10.55	$17.98	$49.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $35.24 / $85.00	Professional		$8.99	$35.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $16.01 / $21.58	Facility		$16.01	$16.01	$21.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $44.35 / $61.60	Professional		$21.97	$44.35	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $86.10	Facility		$35.96	$35.96	$86.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.92 / $16.44	Professional		$9.52	$11.92	$16.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $31.79 / $38.29	Professional		$31.79	$31.79	$38.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $71.67 / $98.17	Professional		$31.79	$71.67	$98.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.07 / $49.27	Professional		$10.43	$15.07	$49.27