Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $109.07 / $230.40	Facility		$17.52	$109.07	$230.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.71 / $14.60	Professional		$11.97	$12.71	$14.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $37.96 / $40.15	Facility		$31.39	$37.96	$40.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $60.41	Professional		$7.21	$7.21	$60.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $39.64 / $41.20	Facility		$9.74	$39.64	$41.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Professional		$14.60	$14.60	$14.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.31 / $44.68	Professional		$16.93	$39.31	$44.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $17.52	Facility		$13.00	$13.00	$17.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $14.05 / $100.00	Facility		$11.97	$14.05	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $14.60 / $42.82	Professional		$8.76	$14.60	$42.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $28.62 / $85.00	Professional		$7.30	$28.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $17.52	Facility		$13.00	$13.00	$17.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $35.64 / $131.77	Professional		$17.84	$35.64	$131.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $100.00	Facility		$29.20	$29.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $9.64 / $14.37	Professional		$7.74	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $63.60	Professional		$31.09	$31.09	$63.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $69.23 / $79.72	Professional		$58.21	$69.23	$79.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $12.70 / $42.82	Professional		$8.47	$12.70	$42.82