Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $42.70 / $130.28	Facility		$19.14	$42.70	$130.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.14 / $63.61	Professional		$18.59	$19.14	$63.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $39.97 / $41.46	Facility		$34.39	$39.97	$41.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $25.09	Professional		$18.59	$18.59	$25.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $29.74	Facility		$25.45	$25.45	$29.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $45.30 / $64.75	Facility		$18.59	$45.30	$64.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $29.49 / $33.51	Professional		$19.09	$29.49	$33.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.59 / $40.64	Facility		$18.55	$18.59	$40.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.59 / $40.64	Facility		$18.55	$18.59	$40.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $27.89	Professional		$18.59	$18.59	$27.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $62.05 / $85.00	Professional		$18.72	$62.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.59 / $40.64	Facility		$18.55	$18.59	$40.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $28.94 / $58.00	Professional		$18.59	$28.94	$58.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $92.90 / $92.90	Facility		$92.90	$92.90	$92.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $26.10 / $32.18	Professional		$25.43	$26.10	$32.18
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $29.74	Professional		$18.59	$18.59	$29.74