Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $80.93 / $133.66	Facility		$34.35	$80.93	$133.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.09 / $33.01	Professional		$5.63	$8.09	$33.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $22.39 / $23.68	Facility		$18.51	$22.39	$23.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.25 / $35.11	Professional		$5.17	$5.25	$35.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $21.04 / $21.87	Facility		$5.07	$21.04	$21.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $12.39 / $29.20	Professional		$6.27	$12.39	$29.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $6.09 / $10.33	Facility		$5.63	$6.09	$10.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $53.47 / $97.18	Facility		$6.46	$53.47	$97.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.67 / $18.55	Professional		$5.17	$8.67	$18.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $12.92 / $85.00	Professional		$4.30	$12.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $6.09 / $10.33	Facility		$5.63	$6.09	$10.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $21.38 / $39.09	Professional		$10.26	$21.38	$39.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $17.22 / $60.00	Facility		$17.22	$17.22	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.25 / $6.27	Professional		$4.23	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $10.51 / $18.34	Professional		$10.51	$10.51	$18.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $10.51 / $47.01	Professional		$10.51	$10.51	$47.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.61 / $18.55	Professional		$5.17	$8.61	$18.55