Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $153.33 / $289.92	Facility		$30.51	$153.33	$289.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.36 / $16.42	Professional		$11.88	$12.36	$16.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $35.57 / $37.61	Facility		$29.41	$35.57	$37.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $58.60	Professional		$6.75	$6.75	$58.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $37.15 / $38.61	Facility		$8.38	$37.15	$38.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Professional		$13.68	$13.68	$13.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.84 / $41.86	Professional		$15.69	$36.84	$41.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $12.17 / $16.42	Facility		$12.17	$12.17	$16.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.42 / $128.62	Facility		$11.22	$16.42	$128.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.68 / $40.09	Professional		$8.02	$13.68	$40.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $26.79 / $85.00	Professional		$6.84	$26.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $12.17 / $16.42	Facility		$12.17	$12.17	$16.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $33.26 / $87.89	Professional		$16.72	$33.26	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $100.00	Facility		$27.36	$27.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.98 / $13.33	Professional		$7.25	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $29.13	Professional		$24.31	$24.31	$29.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $39.76 / $74.69	Professional		$24.31	$39.76	$74.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $10.94 / $33.82	Professional		$6.84	$10.94	$33.82