Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $138.07 / $614.23	Facility		$20.05	$138.07	$614.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.04 / $20.05	Professional		$14.18	$15.04	$20.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $43.45 / $45.95	Facility		$35.93	$43.45	$45.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $69.14	Professional		$8.25	$8.25	$69.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $45.39 / $47.17	Facility		$11.40	$45.39	$47.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $16.71	Professional		$16.71	$16.71	$16.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.00 / $51.14	Professional		$19.41	$45.00	$51.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $14.89 / $20.05	Facility		$14.89	$14.89	$20.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $16.71 / $112.88	Facility		$14.89	$16.71	$112.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $16.71 / $49.04	Professional		$9.81	$16.71	$49.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $46.12 / $85.00	Professional		$8.36	$46.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $14.89 / $20.05	Facility		$14.89	$14.89	$20.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $41.18 / $162.51	Professional		$20.43	$41.18	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $97.56	Facility		$33.42	$33.42	$97.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $11.11 / $16.47	Professional		$8.86	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $35.58 / $38.01	Professional		$35.58	$35.58	$38.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $38.01 / $91.24	Professional		$38.01	$38.01	$91.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $13.75 / $41.37	Professional		$9.69	$13.75	$41.37