Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $146.80 / $247.68	Facility		$60.90	$146.80	$247.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.75 / $26.78	Professional		$8.69	$9.75	$26.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $34.81 / $36.82	Facility		$28.79	$34.81	$36.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $57.35	Professional		$9.92	$9.92	$57.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $36.36 / $37.79	Facility		$8.41	$36.36	$37.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.06 / $40.98	Professional		$15.28	$36.06	$40.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $9.90 / $16.07	Facility		$8.96	$9.90	$16.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $126.43 / $210.81	Facility		$12.05	$126.43	$210.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.39 / $99.95	Professional		$8.02	$13.39	$99.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $26.25 / $85.00	Professional		$6.70	$26.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $9.90 / $16.07	Facility		$8.96	$9.90	$16.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $32.47 / $74.23	Professional		$16.37	$32.47	$74.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $100.00	Facility		$26.78	$26.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.43 / $21.69	Professional		$7.10	$11.43	$21.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $28.51	Professional		$18.07	$18.07	$28.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $73.11	Professional		$18.07	$18.07	$73.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $11.05 / $37.09	Professional		$6.70	$11.05	$37.09