Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $144.00 / $304.32	Facility		$38.22	$144.00	$304.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $16.11 / $41.04	Professional		$14.05	$16.11	$41.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $44.56 / $47.14	Facility		$36.85	$44.56	$47.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $69.92	Professional		$7.18	$7.18	$69.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $41.89 / $43.54	Facility		$9.51	$41.89	$43.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.16 / $52.45	Professional		$19.82	$46.16	$52.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $20.57	Facility		$13.12	$13.12	$20.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $87.21 / $274.85	Facility		$13.12	$87.21	$274.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $17.14 / $41.90	Professional		$9.94	$17.14	$41.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $25.71 / $85.00	Professional		$8.48	$25.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $20.57	Facility		$13.12	$13.12	$20.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $41.81 / $58.30	Professional		$23.15	$41.81	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $34.28 / $81.42	Facility		$34.28	$34.28	$81.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $30.87	Professional		$9.08	$9.08	$30.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $14.96 / $36.50	Professional		$14.96	$14.96	$36.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $49.81 / $93.58	Professional		$14.96	$49.81	$93.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $13.71 / $41.90	Professional		$8.57	$13.71	$41.90