Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $27.54 / $40.94	Facility		$22.03	$27.54	$40.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $17.44 / $64.52	Professional		$15.06	$17.44	$64.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $47.74 / $50.49	Facility		$39.47	$47.74	$50.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $74.90	Professional		$8.10	$8.10	$74.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $44.87 / $46.63	Facility		$13.69	$44.87	$46.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.45 / $56.19	Professional		$21.06	$49.45	$56.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.69 / $22.03	Facility		$14.63	$14.69	$22.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $15.80 / $87.21	Facility		$14.63	$15.80	$87.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.36 / $48.17	Professional		$10.65	$18.36	$48.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $32.18 / $85.00	Professional		$9.18	$32.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.69 / $22.03	Facility		$14.63	$14.69	$22.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $45.14 / $69.27	Professional		$21.66	$45.14	$69.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $42.08 / $87.21	Facility		$36.72	$42.08	$87.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.78 / $15.94	Professional		$9.73	$10.78	$15.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $39.10	Professional		$16.88	$16.88	$39.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $55.61 / $100.25	Professional		$16.88	$55.61	$100.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $13.86 / $48.17	Professional		$9.18	$13.86	$48.17