Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $45.05 / $184.32	Facility		$24.24	$45.05	$184.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $19.19 / $54.83	Professional		$16.55	$19.19	$54.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $52.52 / $55.55	Facility		$43.43	$52.52	$55.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $82.40	Professional		$9.98	$9.98	$82.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $54.87 / $57.02	Facility		$15.40	$54.87	$57.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $54.40 / $61.81	Professional		$23.13	$54.40	$61.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $24.24	Facility		$17.98	$17.98	$24.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $18.18 / $236.00	Facility		$16.55	$18.18	$236.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.13 / $44.89	Professional		$11.48	$19.13	$44.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $30.30 / $85.00	Professional		$10.10	$30.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $24.24	Facility		$17.98	$17.98	$24.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $49.10 / $149.34	Professional		$24.70	$49.10	$149.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $236.00	Facility		$40.40	$40.40	$236.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.39 / $19.86	Professional		$10.71	$13.39	$19.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $43.02 / $56.08	Professional		$43.02	$43.02	$56.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $56.08 / $110.29	Professional		$56.08	$56.08	$110.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.16 / $44.89	Professional		$11.39	$16.16	$44.89