Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $133.86 / $181.23	Facility		$21.86	$133.86	$181.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.12 / $17.48	Professional		$12.68	$13.12	$17.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $37.88 / $40.07	Facility		$31.33	$37.88	$40.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $60.28	Professional		$7.20	$7.20	$60.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $39.57 / $41.12	Facility		$9.72	$39.57	$41.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.24 / $44.59	Professional		$16.93	$39.24	$44.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $17.48	Facility		$12.98	$12.98	$17.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $17.48 / $215.24	Facility		$12.98	$17.48	$215.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $14.57 / $40.36	Professional		$8.55	$14.57	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $28.56 / $85.00	Professional		$7.29	$28.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $17.48	Facility		$12.98	$12.98	$17.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $35.64 / $118.58	Professional		$17.80	$35.64	$118.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $100.00	Facility		$29.14	$29.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $9.64 / $14.37	Professional		$7.72	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $31.03 / $31.42	Professional		$31.03	$31.03	$31.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $58.10 / $79.55	Professional		$31.42	$58.10	$79.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $12.31 / $42.76	Professional		$7.29	$12.31	$42.76