Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $145.35 / $207.36	Facility		$18.07	$145.35	$207.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.33 / $17.60	Professional		$10.36	$11.33	$17.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $31.33 / $33.14	Facility		$25.91	$31.33	$33.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $49.86	Professional		$5.95	$5.95	$49.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $32.72 / $34.01	Facility		$8.75	$32.72	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.45 / $36.88	Professional		$13.63	$32.45	$36.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.46	Facility		$10.73	$10.73	$14.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $12.05 / $81.84	Facility		$10.73	$12.05	$81.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $12.05 / $33.38	Professional		$7.07	$12.05	$33.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $33.26 / $85.00	Professional		$6.03	$33.26	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.46	Facility		$10.73	$10.73	$14.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $29.30 / $40.70	Professional		$14.73	$29.30	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $25.87 / $79.81	Facility		$24.10	$25.87	$79.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $8.00 / $11.76	Professional		$6.39	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $26.78	Professional		$16.52	$16.52	$26.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $26.78 / $84.09	Professional		$17.64	$26.78	$84.09
United Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $10.10 / $29.84	Professional		$6.99	$10.10	$29.84