Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $29.55 / $435.38	Facility		$15.90	$29.55	$435.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.46 / $47.16	Professional		$10.46	$12.46	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $34.45 / $36.44	Facility		$28.49	$34.45	$36.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $54.30	Professional		$5.92	$5.92	$54.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $32.54 / $33.83	Facility		$9.89	$32.54	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.68 / $40.54	Professional		$15.28	$35.68	$40.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $15.90	Facility		$10.68	$10.68	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.14 / $70.00	Facility		$10.68	$12.14	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.25 / $35.20	Professional		$7.95	$13.25	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $36.57 / $85.00	Professional		$6.63	$36.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $15.90	Facility		$10.68	$10.68	$15.90
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 $26.50 / $26.50 / $70.00	Facility		$26.50	$26.50	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $7.84 / $11.76	Professional		$7.02	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $123.60	Professional		$28.22	$28.22	$123.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $123.60 / $123.60	Professional		$51.43	$123.60	$123.60
United Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.13 / $35.20	Professional		$7.19	$10.13	$35.20