Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $140.51 / $199.94	Facility		$33.63	$140.51	$199.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.15 / $24.64	Professional		$10.56	$13.15	$24.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $39.21 / $41.47	Facility		$32.42	$39.21	$41.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $62.39	Professional		$8.53	$8.53	$62.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $40.94 / $42.55	Facility		$10.29	$40.94	$42.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Professional		$15.08	$15.08	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $40.61 / $46.15	Professional		$17.35	$40.61	$46.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $96.17 / $180.11	Facility		$13.43	$96.17	$180.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $15.08 / $44.23	Professional		$8.75	$15.08	$44.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $29.55 / $85.00	Professional		$7.54	$29.55	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $37.22 / $116.40	Professional		$18.43	$37.22	$116.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $100.00	Facility		$30.16	$30.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.96 / $14.64	Professional		$7.99	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $32.11	Professional		$24.41	$24.41	$32.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $82.34	Professional		$24.41	$24.41	$82.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $13.12 / $57.39	Professional		$7.54	$13.12	$57.39