Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $114.81 / $114.81	Facility		$114.81	$114.81	$114.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $78.40 / $78.40	Professional		$78.40	$78.40	$78.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $93.08	Professional		$5.33	$5.33	$93.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $55.99 / $58.19	Facility		$24.06	$55.99	$58.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $64.30 / $73.06	Professional		$37.17	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $112.04	Facility		$16.07	$16.07	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $49.79	Professional		$13.16	$19.34	$49.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $56.98 / $80.05	Professional		$32.32	$56.98	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $50.00 / $112.04	Facility		$45.88	$50.00	$112.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $18.36 / $49.79	Professional		$11.97	$18.36	$49.79