Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $30.08 / $44.71	Facility		$24.06	$30.08	$44.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $24.06 / $78.84	Professional		$15.44	$24.06	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $52.13 / $55.14	Facility		$43.11	$52.13	$55.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $20.05 / $86.22	Professional		$9.90	$20.05	$86.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $56.59	Facility		$54.45	$54.45	$56.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $53.99 / $61.35	Professional		$23.13	$53.99	$61.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.66 / $70.18	Facility		$18.05	$25.66	$70.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.66 / $70.18	Facility		$18.05	$25.66	$70.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $16.80 / $164.83	Professional		$11.99	$16.80	$164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $65.00 / $85.00	Professional		$20.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.66 / $70.18	Facility		$18.05	$25.66	$70.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $52.33 / $85.27	Professional		$40.29	$52.33	$85.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $95.52 / $95.52	Facility		$50.00	$95.52	$95.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $106.69 / $164.83	Professional		$25.91	$106.69	$164.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $42.70	Professional		$20.63	$20.63	$42.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $58.27 / $109.47	Professional		$20.63	$58.27	$109.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.04 / $49.65	Professional		$11.57	$16.04	$49.65