Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $32.51 / $48.32	Facility		$26.00	$32.51	$48.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.64 / $26.00	Professional		$10.84	$18.64	$26.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $56.34 / $59.59	Facility		$46.59	$56.34	$59.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $88.40	Professional		$8.67	$8.67	$88.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $52.96 / $55.04	Facility		$11.36	$52.96	$55.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $58.36 / $66.31	Professional		$24.78	$58.36	$66.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $26.00	Facility		$12.19	$12.19	$26.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $17.77 / $102.93	Facility		$12.19	$17.77	$102.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.09 / $39.01	Professional		$10.84	$18.09	$39.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $55.00 / $85.00	Professional		$10.84	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $26.00	Facility		$12.19	$12.19	$26.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $52.85 / $72.48	Professional		$29.27	$52.85	$72.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $43.34 / $102.93	Facility		$43.34	$43.34	$102.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.68 / $8.68	Professional		$8.17	$8.68	$8.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $46.15	Professional		$13.64	$13.64	$46.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $52.83 / $118.32	Professional		$13.64	$52.83	$118.32
United Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $21.67	Facility		$21.67	$21.67	$21.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.54 / $40.34	Professional		$10.84	$14.54	$40.34