Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $118.42 / $236.84	Facility		$16.98	$118.42	$236.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $11.17 / $14.78	Professional		$10.60	$11.17	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $32.03 / $33.88	Facility		$26.49	$32.03	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $50.97	Professional		$6.08	$6.08	$50.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $33.46 / $34.77	Facility		$8.41	$33.46	$34.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.18 / $37.70	Professional		$14.04	$33.18	$37.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $14.78	Facility		$10.98	$10.98	$14.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.32 / $117.12	Facility		$9.77	$12.32	$117.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.32 / $34.13	Professional		$7.23	$12.32	$34.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $34.00 / $85.00	Professional		$6.16	$34.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $14.78	Facility		$10.98	$10.98	$14.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $30.10 / $59.95	Professional		$15.06	$30.10	$59.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $24.64 / $100.00	Facility		$24.64	$24.64	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $8.17 / $12.02	Professional		$6.53	$8.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $32.96	Professional		$26.24	$26.24	$32.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $67.27	Professional		$32.96	$32.96	$67.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $10.16 / $34.13	Professional		$6.16	$10.16	$34.13