Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $44.02 / $108.47	Facility		$23.69	$44.02	$108.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $17.89 / $23.69	Professional		$16.19	$17.89	$23.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $51.32 / $54.29	Facility		$42.44	$51.32	$54.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $81.68	Professional		$9.75	$9.75	$81.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $53.60 / $55.70	Facility		$13.82	$53.60	$55.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $53.15 / $60.40	Professional		$22.72	$53.15	$60.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $23.69	Facility		$17.59	$17.59	$23.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $17.77 / $100.00	Facility		$16.19	$17.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $19.73 / $54.68	Professional		$11.84	$19.73	$54.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $38.70 / $85.00	Professional		$9.86	$38.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $23.69	Facility		$17.59	$17.59	$23.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $48.31 / $173.53	Professional		$26.64	$48.31	$173.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $100.00	Facility		$39.47	$39.47	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $13.06 / $19.34	Professional		$10.46	$13.06	$19.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $42.04	Professional		$37.50	$37.50	$42.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $107.78	Professional		$37.50	$37.50	$107.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $16.67 / $57.94	Professional		$11.45	$16.67	$57.94