Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $53.65 / $110.18	Facility		$28.87	$53.65	$110.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.87 / $51.78	Professional		$19.73	$28.87	$51.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $62.56 / $66.17	Facility		$51.73	$62.56	$66.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $98.14	Professional		$9.61	$9.61	$98.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $58.80 / $61.11	Facility		$17.93	$58.80	$61.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Professional		$24.06	$24.06	$24.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $76.87 / $117.92	Facility		$65.78	$76.87	$117.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $64.79 / $73.63	Professional		$27.67	$64.79	$73.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $16.98 / $28.87	Facility		$15.71	$16.98	$28.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $19.73 / $114.29	Facility		$15.71	$19.73	$114.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.06 / $51.77	Professional		$12.88	$24.06	$51.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $36.09 / $85.00	Professional		$12.03	$36.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $16.98 / $28.87	Facility		$15.71	$16.98	$28.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $58.61 / $81.40	Professional		$28.12	$58.61	$81.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $48.12 / $114.29	Facility		$48.12	$48.12	$114.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $11.80 / $17.25	Professional		$11.60	$11.80	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $51.24 / $206.10	Professional		$51.24	$51.24	$206.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $206.10 / $206.10	Professional		$72.00	$206.10	$206.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $14.90 / $51.77	Professional		$12.03	$14.90	$51.77