Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $36.84 / $54.77	Facility		$29.47	$36.84	$54.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $23.33 / $47.16	Professional		$20.14	$23.33	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $63.86 / $67.54	Facility		$52.80	$63.86	$67.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $9.82 / $99.13	Professional		$9.82	$9.82	$99.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $60.02 / $62.38	Facility		$16.63	$60.02	$62.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $60.01 / $75.15	Professional		$28.08	$60.01	$75.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $29.47	Facility		$10.68	$11.54	$29.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $20.14 / $116.66	Facility		$10.68	$20.14	$116.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $17.59 / $44.21	Professional		$9.89	$17.59	$44.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $42.33 / $85.00	Professional		$12.28	$42.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $29.47	Facility		$10.68	$11.54	$29.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $58.62 / $82.22	Professional		$28.88	$58.62	$82.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $50.00 / $116.66	Facility		$49.12	$50.00	$116.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $52.30	Professional		$12.33	$12.33	$52.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $134.10	Professional		$12.33	$12.33	$134.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $16.76 / $44.21	Professional		$10.13	$16.76	$44.21