Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $119.85 / $271.79	Facility		$18.28	$119.85	$271.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.65 / $15.90	Professional		$7.02	$9.65	$15.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $34.45 / $36.44	Facility		$28.49	$34.45	$36.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $54.83	Professional		$6.54	$6.54	$54.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $36.00 / $37.40	Facility		$7.28	$36.00	$37.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.68 / $40.54	Professional		$15.28	$35.68	$40.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $12.19 / $15.90	Facility		$11.93	$12.19	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $15.90 / $131.86	Facility		$11.93	$15.90	$131.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $13.25 / $36.70	Professional		$7.69	$13.25	$36.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $19.88 / $85.00	Professional		$6.56	$19.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $12.19 / $15.90	Facility		$11.93	$12.19	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $32.47 / $45.10	Professional		$16.20	$32.47	$45.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $62.94	Facility		$26.50	$26.50	$62.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $7.02 / $8.17	Professional		$7.02	$7.02	$8.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $28.22	Professional		$13.64	$13.64	$28.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $38.51 / $72.34	Professional		$13.64	$38.51	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.85 / $36.70	Professional		$7.69	$10.85	$36.70