Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $29.34 / $139.16	Facility		$23.47	$29.34	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.47 / $76.88	Professional		$16.04	$23.47	$76.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $50.86 / $53.79	Facility		$42.05	$50.86	$53.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $80.93	Professional		$9.66	$9.66	$80.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $53.11 / $55.19	Facility		$12.30	$53.11	$55.19
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 $22.30 / $52.67 / $59.85	Professional		$22.30	$52.67	$59.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $23.47	Facility		$17.42	$17.42	$23.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $17.60 / $113.00	Facility		$16.04	$17.60	$113.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $19.55 / $54.18	Professional		$11.74	$19.55	$54.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $53.99 / $85.00	Professional		$9.68	$53.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $23.47	Facility		$17.42	$17.42	$23.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $47.52 / $66.00	Professional		$23.90	$47.52	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $57.42 / $113.00	Facility		$39.11	$57.42	$113.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $12.90 / $19.07	Professional		$10.37	$12.90	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $41.65 / $52.53	Professional		$41.65	$41.65	$52.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $77.97 / $106.80	Professional		$52.53	$77.97	$106.80
United Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $23.47 / $23.47	Facility		$23.47	$23.47	$23.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $16.51 / $54.18	Professional		$11.34	$16.51	$54.18