Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $31.02 / $132.30	Facility		$16.69	$31.02	$132.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.73 / $62.00	Professional		$10.74	$15.73	$62.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $36.17 / $38.25	Facility		$29.91	$36.17	$38.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $56.74	Professional		$5.92	$5.92	$56.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $34.00 / $35.33	Facility		$10.37	$34.00	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.46 / $42.56	Professional		$16.11	$37.46	$42.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.13 / $16.69	Facility		$10.68	$11.13	$16.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $83.01	Facility		$10.68	$11.54	$83.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.91 / $35.20	Professional		$8.35	$13.91	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $38.39 / $85.00	Professional		$6.96	$38.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.13 / $16.69	Facility		$10.68	$11.13	$16.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $34.06 / $51.16	Professional		$18.78	$34.06	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $50.00 / $83.01	Facility		$27.82	$50.00	$83.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.84 / $11.76	Professional		$7.37	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $29.62 / $29.87	Professional		$29.62	$29.62	$29.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $75.95	Professional		$29.87	$29.87	$75.95
United Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $30.18	Facility		$11.13	$11.13	$30.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $13.91 / $29.70	Professional		$7.51	$13.91	$29.70