Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $29.93 / $124.80	Facility		$16.10	$29.93	$124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $12.75 / $47.16	Professional		$11.00	$12.75	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $34.89 / $36.90	Facility		$28.85	$34.89	$36.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $54.74	Professional		$5.92	$5.92	$54.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $32.79 / $34.09	Facility		$10.01	$32.79	$34.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.14 / $41.06	Professional		$15.28	$36.14	$41.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.74 / $16.10	Facility		$10.68	$10.74	$16.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $70.00	Facility		$10.68	$11.54	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.42 / $35.20	Professional		$8.05	$13.42	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $42.33 / $85.00	Professional		$6.64	$42.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.74 / $16.10	Facility		$10.68	$10.74	$16.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $51.16	Professional		$15.58	$32.47	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $26.84 / $70.00	Facility		$26.84	$26.84	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.84 / $11.76	Professional		$7.11	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $28.58 / $29.61	Professional		$28.58	$28.58	$29.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $39.00 / $73.27	Professional		$29.61	$39.00	$73.27
United Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.74 / $13.42	Facility		$6.71	$10.74	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.74 / $35.20	Professional		$7.25	$10.74	$35.20