Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $153.00 / $971.96	Facility		$28.91	$153.00	$971.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.75 / $35.08	Professional		$15.71	$19.75	$35.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $62.63 / $66.25	Facility		$51.79	$62.63	$66.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $98.27	Professional		$9.64	$9.64	$98.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $58.88 / $61.19	Facility		$13.18	$58.88	$61.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $24.09	Professional		$24.09	$24.09	$24.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $64.87 / $73.70	Professional		$27.67	$64.87	$73.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $28.91	Facility		$16.07	$17.37	$28.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $24.09 / $116.10	Facility		$16.07	$24.09	$116.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $24.09 / $66.73	Professional		$13.97	$24.09	$66.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $36.14 / $85.00	Professional		$12.05	$36.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $28.91	Facility		$16.07	$17.37	$28.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $58.61 / $81.40	Professional		$28.12	$58.61	$81.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $48.18 / $114.43	Facility		$48.18	$48.18	$114.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $12.08 / $17.77	Professional		$11.92	$12.08	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $51.30 / $83.74	Professional		$51.30	$51.30	$83.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $85.62 / $131.53	Professional		$71.98	$85.62	$131.53
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $19.27 / $52.98	Professional		$13.01	$19.27	$52.98