Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $188.79 / $292.61	Facility		$26.16	$188.79	$292.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $17.16 / $33.21	Professional		$14.60	$17.16	$33.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $49.30 / $52.14	Facility		$40.76	$49.30	$52.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $78.44	Professional		$9.36	$9.36	$78.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $51.50 / $53.52	Facility		$12.94	$51.50	$53.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Professional		$18.96	$18.96	$18.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $51.05 / $58.01	Professional		$21.89	$51.05	$58.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $22.75	Facility		$16.89	$16.89	$22.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $36.83 / $185.47	Facility		$16.89	$36.83	$185.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $18.96 / $52.52	Professional		$11.13	$18.96	$52.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $37.19 / $85.00	Professional		$9.48	$37.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $22.75	Facility		$16.89	$16.89	$22.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $46.73 / $139.47	Professional		$23.18	$46.73	$139.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $37.92 / $95.40	Facility		$37.92	$37.92	$95.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.57 / $18.55	Professional		$10.05	$12.57	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $40.38	Professional		$30.02	$30.02	$40.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $103.52	Professional		$30.02	$30.02	$103.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.50 / $55.67	Professional		$10.43	$15.50	$55.67