Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $48.52 / $165.88	Facility		$26.11	$48.52	$165.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $20.67 / $47.16	Professional		$17.84	$20.67	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $56.58 / $59.84	Facility		$46.78	$56.58	$59.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $88.77	Professional		$13.06	$13.06	$88.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $53.18 / $55.27	Facility		$15.11	$53.18	$55.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $58.60 / $66.59	Professional		$24.78	$58.60	$66.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $26.11	Facility		$10.88	$10.88	$26.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $17.84 / $103.36	Facility		$10.88	$17.84	$103.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.76 / $39.17	Professional		$9.86	$16.76	$39.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $32.64 / $85.00	Professional		$10.88	$32.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $26.11	Facility		$10.88	$10.88	$26.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $51.68 / $72.48	Professional		$25.46	$51.68	$72.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $43.52 / $103.36	Facility		$43.52	$43.52	$103.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.01 / $8.01	Professional		$7.84	$8.01	$8.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $46.34	Professional		$12.33	$12.33	$46.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $118.81	Professional		$12.33	$12.33	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.76 / $40.50	Professional		$9.86	$16.76	$40.50