Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $120.70 / $333.41	Facility		$14.38	$120.70	$333.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.26 / $14.38	Professional		$9.22	$11.26	$14.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $31.15 / $32.95	Facility		$25.76	$31.15	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $49.56	Professional		$5.92	$5.92	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $32.54 / $33.83	Facility		$9.14	$32.54	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.26 / $36.65	Professional		$13.63	$32.26	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $12.06 / $14.38	Facility		$11.26	$12.06	$14.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $12.06 / $80.00	Facility		$11.26	$12.06	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.18	Professional		$7.19	$11.98	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $42.33 / $85.00	Professional		$5.99	$42.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $12.06 / $14.38	Facility		$11.26	$12.06	$14.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $29.30 / $40.70	Professional		$14.65	$29.30	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $25.75 / $80.00	Facility		$23.96	$25.75	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $7.84	Professional		$6.35	$6.35	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $25.51 / $143.79	Professional		$25.51	$25.51	$143.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $65.41 / $143.79	Professional		$47.78	$65.41	$143.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $9.89 / $32.83	Professional		$6.95	$9.89	$32.83