Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $152.56 / $249.34	Facility		$20.60	$152.56	$249.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.45 / $30.62	Professional		$11.97	$12.45	$30.62
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 $6.78 / $6.78 / $56.81	Professional		$6.78	$6.78	$56.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $37.29 / $38.76	Facility		$7.54	$37.29	$38.76
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 $12.23 / $12.23 / $16.48	Facility		$12.23	$12.23	$16.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $16.48 / $203.40	Facility		$12.23	$16.48	$203.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.73 / $40.26	Professional		$8.05	$13.73	$40.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $26.92 / $85.00	Professional		$6.87	$26.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $16.48	Facility		$12.23	$12.23	$16.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $33.26 / $74.41	Professional		$16.79	$33.26	$74.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $28.45 / $96.00	Facility		$27.46	$28.45	$96.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.98 / $13.33	Professional		$7.28	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $68.52	Professional		$29.24	$29.24	$68.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $68.52 / $74.97	Professional		$54.75	$68.52	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.50 / $37.86	Professional		$7.96	$11.50	$37.86