Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $119.19 / $244.61	Facility		$16.11	$119.19	$244.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $9.35 / $12.89	Professional		$8.99	$9.35	$12.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $27.92 / $29.54	Facility		$23.09	$27.92	$29.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $44.44	Professional		$5.30	$5.30	$44.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $29.15 / $30.30	Facility		$7.33	$29.15	$30.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.92 / $32.86	Professional		$12.39	$28.92	$32.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $10.74 / $100.00	Facility		$9.56	$10.74	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.74 / $31.52	Professional		$6.44	$10.74	$31.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $29.64 / $85.00	Professional		$5.37	$29.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $26.14 / $98.81	Professional		$13.12	$26.14	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $100.00	Facility		$21.48	$21.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.02 / $10.45	Professional		$5.69	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $23.69	Professional		$22.87	$22.87	$23.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $31.21 / $58.64	Professional		$23.69	$31.21	$58.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $8.86 / $29.43	Professional		$6.23	$8.86	$29.43