Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $108.30 / $457.60	Facility		$25.72	$108.30	$457.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $23.86	Professional		$12.20	$13.58	$23.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $48.46 / $51.26	Facility		$40.08	$48.46	$51.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $76.04	Professional		$7.46	$7.46	$76.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $45.55 / $47.35	Facility		$12.12	$45.55	$47.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Professional		$18.64	$18.64	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.19 / $57.04	Professional		$21.48	$50.19	$57.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $13.17 / $22.37	Facility		$12.19	$13.17	$22.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $17.05 / $104.01	Facility		$12.19	$17.05	$104.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $18.64 / $49.43	Professional		$10.25	$18.64	$49.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $48.33 / $85.00	Professional		$9.32	$48.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $13.17 / $22.37	Facility		$12.19	$13.17	$22.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $45.94 / $164.71	Professional		$22.04	$45.94	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $104.01	Facility		$37.28	$37.28	$104.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.15 / $13.33	Professional		$8.98	$9.15	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $39.69 / $50.16	Professional		$39.69	$39.69	$50.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $101.77	Professional		$50.16	$50.16	$101.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.91 / $39.14	Professional		$9.32	$14.91	$39.14