Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $88.32 / $251.94	Facility		$13.86	$88.32	$251.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $10.46 / $25.76	Professional		$8.89	$10.46	$25.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $30.03 / $31.76	Facility		$24.83	$30.03	$31.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $47.12	Professional		$5.70	$5.70	$47.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $31.35 / $32.59	Facility		$7.30	$31.35	$32.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.10 / $35.34	Professional		$13.22	$31.10	$35.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $13.86	Facility		$10.29	$10.29	$13.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $10.40 / $77.95	Facility		$9.47	$10.40	$77.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $9.03 / $25.67	Professional		$5.03	$9.03	$25.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $17.32 / $85.00	Professional		$5.78	$17.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $13.86	Facility		$10.29	$10.29	$13.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $28.51 / $48.30	Professional		$14.11	$28.51	$48.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $77.95	Facility		$23.10	$23.10	$77.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.68 / $11.24	Professional		$6.12	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $24.60	Professional		$23.48	$23.48	$24.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $24.56 / $63.06	Professional		$23.48	$24.56	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.59 / $21.50	Professional		$4.84	$8.59	$21.50