Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $40.32 / $59.94	Facility		$32.26	$40.32	$59.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $32.26 / $78.84	Professional		$20.70	$32.26	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $69.89 / $73.92	Facility		$57.79	$69.89	$73.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $26.88 / $115.13	Professional		$10.75	$26.88	$115.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $68.28	Facility		$65.69	$65.69	$68.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $72.38 / $82.25	Professional		$28.99	$72.38	$82.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $32.35 / $94.08	Facility		$24.19	$32.35	$94.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $32.35 / $94.08	Facility		$24.19	$32.35	$94.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $17.55 / $180.90	Professional		$14.47	$17.55	$180.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $65.00 / $85.00	Professional		$26.88	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $32.35 / $94.08	Facility		$24.19	$32.35	$94.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $70.06 / $89.79	Professional		$53.95	$70.06	$89.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $150.00 / $150.00	Facility		$53.76	$150.00	$150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $134.40 / $180.90	Professional		$25.91	$134.40	$180.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $57.24	Professional		$20.63	$20.63	$57.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $79.95 / $146.76	Professional		$20.63	$79.95	$146.76
United Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $32.26 / $32.26	Facility		$32.26	$32.26	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $16.80 / $50.03	Professional		$12.10	$16.80	$50.03