Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $48.39 / $219.83	Facility		$26.04	$48.39	$219.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $19.37 / $20.39	Professional		$18.88	$19.37	$20.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $56.42 / $59.68	Facility		$46.66	$56.42	$59.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $89.79	Professional		$10.71	$10.71	$89.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $58.93 / $61.24	Facility		$14.80	$58.93	$61.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $58.43 / $66.40	Professional		$24.78	$58.43	$66.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $26.04	Facility		$19.32	$19.32	$26.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $20.39 / $122.00	Facility		$17.79	$20.39	$122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $21.70 / $60.11	Professional		$13.02	$21.70	$60.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $42.52 / $85.00	Professional		$10.85	$42.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $26.04	Facility		$19.32	$19.32	$26.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $53.06 / $144.94	Professional		$26.52	$53.06	$144.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $43.40 / $122.00	Facility		$43.40	$43.40	$122.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $14.37 / $21.17	Professional		$11.50	$14.37	$21.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $46.21 / $99.09	Professional		$46.21	$46.21	$99.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $99.09 / $118.48	Professional		$99.09	$99.09	$118.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.89 / $59.47	Professional		$12.59	$17.89	$59.47