Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $34.57 / $175.13	Facility		$18.60	$34.57	$175.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.60 / $103.00	Professional		$13.50	$18.60	$103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $40.29 / $42.63	Facility		$33.33	$40.29	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $64.13	Professional		$7.65	$7.65	$64.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $42.09 / $43.74	Facility		$11.33	$42.09	$43.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.73 / $47.43	Professional		$17.76	$41.73	$47.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.60	Facility		$13.80	$13.80	$18.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $13.95 / $101.29	Facility		$12.71	$13.95	$101.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $18.60 / $41.85	Professional		$9.30	$18.60	$41.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $30.39 / $85.00	Professional		$7.75	$30.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.60	Facility		$13.80	$13.80	$18.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $38.02 / $52.80	Professional		$18.94	$38.02	$52.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $33.28 / $101.29	Facility		$31.00	$33.28	$101.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $10.29	Professional		$8.22	$8.22	$10.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $21.26	Professional		$21.26	$21.26	$21.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $108.17 / $108.17	Professional		$19.29	$108.17	$108.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.50 / $42.48	Professional		$9.30	$15.50	$42.48