Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $29.39 / $43.69	Facility		$23.51	$29.39	$43.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $18.61 / $50.11	Professional		$16.05	$18.61	$50.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $50.93 / $53.87	Facility		$42.12	$50.93	$53.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $79.91	Professional		$9.67	$9.67	$79.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $53.18 / $55.27	Facility		$14.32	$53.18	$55.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.76 / $59.95	Professional		$22.72	$52.76	$59.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $23.51	Facility		$10.38	$10.38	$23.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $16.05 / $596.54	Facility		$10.38	$16.05	$596.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $17.80 / $54.26	Professional		$10.49	$17.80	$54.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $44.97 / $85.00	Professional		$9.80	$44.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $23.51	Facility		$10.38	$10.38	$23.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $48.31 / $109.82	Professional		$23.94	$48.31	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $596.54	Facility		$39.18	$39.18	$596.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.88 / $20.39	Professional		$10.38	$13.88	$20.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $136.71 / $136.71	Professional		$18.67	$136.71	$136.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.67 / $53.69	Professional		$9.80	$15.67	$53.69