Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $33.92 / $33.92	Professional		$23.18	$33.92	$33.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $73.50 / $77.73	Facility		$60.78	$73.50	$77.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $115.32	Professional		$13.96	$13.96	$115.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $36.75 / $42.82	Facility		$36.75	$36.75	$42.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.56 / $138.91	Facility		$77.50	$90.56	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $36.56 / $54.79	Professional		$14.98	$36.56	$54.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $25.44 / $36.19	Facility		$14.98	$25.44	$36.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $28.27 / $134.28	Facility		$14.98	$28.27	$134.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $28.27 / $73.29	Professional		$16.96	$28.27	$73.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $42.41 / $65.00	Professional		$13.99	$42.41	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $25.44 / $36.19	Facility		$14.98	$25.44	$36.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $68.63 / $95.70	Professional		$32.56	$68.63	$95.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $134.28	Facility		$56.54	$56.54	$134.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $14.98	Professional		$14.86	$14.86	$14.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $60.20 / $60.20	Professional		$60.20	$60.20	$60.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $154.35 / $154.35	Professional		$154.35	$154.35	$154.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $22.62 / $73.29	Professional		$16.39	$22.62	$73.29