Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $60.01 / $129.88	Facility		$32.29	$60.01	$129.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $32.29 / $74.67	Professional		$20.72	$32.29	$74.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $69.97 / $74.00	Facility		$57.86	$69.97	$74.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $26.91 / $115.26	Professional		$10.76	$26.91	$115.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $71.25 / $75.08	Facility		$71.25	$71.25	$75.08
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 / $78.36 / $89.55	Professional		$28.99	$78.36	$89.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $32.29 / $94.19	Facility		$24.22	$32.29	$94.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $32.29 / $94.19	Facility		$24.22	$32.29	$94.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.91 / $362.00	Professional		$21.53	$26.91	$362.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $58.40 / $85.00	Professional		$25.86	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $32.29 / $94.19	Facility		$24.22	$32.29	$94.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $65.47 / $91.30	Professional		$49.41	$65.47	$91.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $210.00 / $210.00	Facility		$53.82	$210.00	$210.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $134.55 / $362.00	Professional		$24.58	$134.55	$362.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $38.32 / $57.31	Professional		$38.32	$38.32	$57.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $38.32 / $146.93	Professional		$38.32	$38.32	$146.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.91 / $87.46	Professional		$21.53	$26.91	$87.46