Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $105.19 / $145.25	Facility		$25.55	$105.19	$145.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.48 / $22.22	Professional		$12.04	$13.48	$22.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $48.15 / $50.93	Facility		$39.82	$48.15	$50.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $75.55	Professional		$7.41	$7.41	$75.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $45.26 / $47.04	Facility		$11.98	$45.26	$47.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.87 / $56.68	Professional		$21.06	$49.87	$56.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $13.08 / $22.22	Facility		$12.11	$13.08	$22.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $22.22 / $106.77	Facility		$12.11	$22.22	$106.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.52 / $39.90	Professional		$10.74	$18.52	$39.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $27.78 / $85.00	Professional		$9.26	$27.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $13.08 / $22.22	Facility		$12.11	$13.08	$22.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $44.09 / $61.66	Professional		$21.66	$44.09	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $87.97	Facility		$37.04	$37.04	$87.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.10 / $9.10	Professional		$8.98	$9.10	$9.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $61.80	Professional		$39.44	$39.44	$61.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $61.80 / $101.12	Professional		$54.20	$61.80	$101.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $14.82 / $39.90	Professional		$9.93	$14.82	$39.90