Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $152.63 / $397.44	Facility		$45.24	$152.63	$397.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $20.72 / $38.51	Professional		$14.16	$20.72	$38.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $44.90 / $47.49	Facility		$37.13	$44.90	$47.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $70.45	Professional		$6.91	$6.91	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $18.13 / $43.87	Facility		$12.62	$18.13	$43.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.51 / $52.85	Professional		$19.82	$46.51	$52.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $20.72	Facility		$8.98	$8.98	$20.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $57.83 / $241.79	Facility		$8.98	$57.83	$241.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.27 / $36.27	Professional		$10.02	$17.27	$36.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $25.91 / $85.00	Professional		$8.64	$25.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $20.72	Facility		$8.98	$8.98	$20.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $40.88 / $58.30	Professional		$22.78	$40.88	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $82.03	Facility		$34.54	$34.54	$82.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.05 / $9.05	Professional		$8.00	$9.05	$9.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $36.78	Professional		$17.27	$17.27	$36.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $50.19 / $94.29	Professional		$17.27	$50.19	$94.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $13.82 / $36.27	Professional		$8.64	$13.82	$36.27