Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $86.58 / $235.20	Facility		$30.32	$86.58	$235.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $22.47 / $22.91	Professional		$21.44	$22.47	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $65.70 / $69.48	Facility		$54.33	$65.70	$69.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $104.56	Professional		$12.48	$12.48	$104.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $68.62 / $71.31	Facility		$17.23	$68.62	$71.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $124.38	Facility		$69.39	$81.08	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $68.05 / $77.33	Professional		$28.91	$68.05	$77.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $30.32	Facility		$22.51	$22.51	$30.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $24.32 / $120.82	Facility		$20.72	$24.32	$120.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $25.27 / $70.00	Professional		$15.16	$25.27	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $49.54 / $85.00	Professional		$12.64	$49.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $30.32	Facility		$22.51	$22.51	$30.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $61.78 / $116.40	Professional		$30.89	$61.78	$116.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $50.54 / $120.82	Facility		$50.54	$50.54	$120.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.66 / $24.83	Professional		$13.39	$16.66	$24.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $70.31	Professional		$53.81	$53.81	$70.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $73.44 / $137.97	Professional		$70.31	$73.44	$137.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $21.34 / $69.25	Professional		$14.66	$21.34	$69.25