Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $89.28 / $332.42	Facility		$19.48	$89.28	$332.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.77 / $25.64	Professional		$11.97	$12.77	$25.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $36.71 / $38.83	Facility		$30.36	$36.71	$38.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $58.42	Professional		$6.97	$6.97	$58.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $38.35 / $39.85	Facility		$9.27	$38.35	$39.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $14.12	Professional		$14.12	$14.12	$14.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.03 / $43.21	Professional		$16.52	$38.03	$43.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $16.94	Facility		$12.59	$12.59	$16.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.12 / $205.00	Facility		$12.59	$14.12	$205.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $14.12 / $46.23	Professional		$8.28	$14.12	$46.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $27.69 / $85.00	Professional		$7.06	$27.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $16.94	Facility		$12.59	$12.59	$16.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $34.85 / $69.23	Professional		$17.26	$34.85	$69.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $28.24 / $205.00	Facility		$28.24	$28.24	$205.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $9.31 / $13.85	Professional		$7.48	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $30.07 / $69.16	Professional		$30.07	$30.07	$69.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $69.16 / $77.09	Professional		$50.82	$69.16	$77.09
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $11.65 / $38.70	Professional		$7.06	$11.65	$38.70