Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $24.65 / $36.64	Facility		$19.72	$24.65	$36.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $15.61 / $47.16	Professional		$13.47	$15.61	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $42.72 / $45.18	Facility		$35.32	$42.72	$45.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $67.02	Professional		$6.57	$6.57	$67.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $40.15 / $41.73	Facility		$12.23	$40.15	$41.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.24 / $50.28	Professional		$19.00	$44.24	$50.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.72	Facility		$10.68	$11.54	$19.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.47 / $78.04	Facility		$10.68	$13.47	$78.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $16.43 / $35.20	Professional		$9.52	$16.43	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $24.65 / $85.00	Professional		$8.22	$24.65	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.72	Facility		$10.68	$11.54	$19.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.39 / $73.45	Professional		$19.38	$40.39	$73.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $78.04	Facility		$32.86	$32.86	$78.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $34.99	Professional		$12.33	$12.33	$34.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $47.78 / $89.71	Professional		$12.33	$47.78	$89.71
United Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Facility		$16.43	$16.43	$16.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $13.14 / $35.20	Professional		$8.76	$13.14	$35.20