Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $32.85 / $48.84	Facility		$26.28	$32.85	$48.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $20.81 / $69.36	Professional		$17.96	$20.81	$69.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $56.94 / $60.23	Facility		$47.09	$56.94	$60.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $89.33	Professional		$8.76	$8.76	$89.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $53.53 / $55.63	Facility		$16.32	$53.53	$55.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $58.97 / $67.01	Professional		$25.19	$58.97	$67.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $16.98 / $26.28	Facility		$15.71	$16.98	$26.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $17.96 / $104.03	Facility		$15.71	$17.96	$104.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $19.36 / $51.77	Professional		$12.70	$19.36	$51.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $34.59 / $85.00	Professional		$10.95	$34.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $16.98 / $26.28	Facility		$15.71	$16.98	$26.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $53.86 / $74.80	Professional		$25.84	$53.86	$74.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $50.00 / $104.03	Facility		$43.80	$50.00	$104.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $11.61 / $17.25	Professional		$11.60	$11.61	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $46.64	Professional		$18.14	$18.14	$46.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $70.33 / $119.57	Professional		$18.14	$70.33	$119.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $17.52 / $51.77	Professional		$10.95	$17.52	$51.77