Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $166.00 / $680.39	Facility		$23.07	$166.00	$680.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.73 / $33.00	Professional		$9.89	$13.73	$33.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $35.70 / $37.76	Facility		$29.52	$35.70	$37.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $56.01	Professional		$8.24	$8.24	$56.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $33.56 / $34.86	Facility		$7.75	$33.56	$34.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $13.73	Professional		$13.73	$13.73	$13.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.97 / $42.01	Professional		$15.69	$36.97	$42.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.34 / $16.48	Facility		$6.73	$7.34	$16.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $16.48 / $172.84	Facility		$6.73	$16.48	$172.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $13.73 / $38.03	Professional		$6.98	$13.73	$38.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $20.60 / $85.00	Professional		$6.87	$20.60	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.34 / $16.48	Facility		$6.73	$7.34	$16.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $32.39 / $45.44	Professional		$15.96	$32.39	$45.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $27.46 / $80.00	Facility		$27.46	$27.46	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.71 / $5.71	Professional		$5.55	$5.71	$5.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $29.24	Professional		$8.69	$8.69	$29.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $42.65 / $74.97	Professional		$8.69	$42.65	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.98 / $36.40	Professional		$6.87	$10.98	$36.40