Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $131.75 / $240.00	Facility		$21.12	$131.75	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $25.04 / $27.80	Professional		$24.19	$25.04	$27.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $72.28 / $76.45	Facility		$59.77	$72.28	$76.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $115.02	Professional		$13.73	$13.73	$115.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $75.48 / $78.45	Facility		$18.97	$75.48	$78.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Professional		$27.80	$27.80	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $89.51 / $137.31	Facility		$76.59	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $74.86 / $85.06	Professional		$31.80	$74.86	$85.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $24.77 / $33.36	Facility		$24.77	$24.77	$33.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $26.76 / $133.26	Facility		$24.77	$26.76	$133.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $27.80 / $77.01	Professional		$16.68	$27.80	$77.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $54.50 / $85.00	Professional		$13.90	$54.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $24.77 / $33.36	Facility		$24.77	$24.77	$33.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $68.11 / $252.56	Professional		$33.97	$68.11	$252.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $55.60 / $133.26	Facility		$55.60	$55.60	$133.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.29 / $27.18	Professional		$14.73	$18.29	$27.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $41.82 / $59.20	Professional		$41.82	$41.82	$59.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $80.79 / $151.79	Professional		$41.82	$80.79	$151.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $24.00 / $100.08	Professional		$16.12	$24.00	$100.08