Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $148.68 / $232.79	Facility		$30.39	$148.68	$232.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.88 / $18.71	Professional		$10.08	$11.88	$18.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $35.44 / $37.47	Facility		$29.30	$35.44	$37.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $56.39	Professional		$6.73	$6.73	$56.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $37.02 / $38.47	Facility		$9.30	$37.02	$38.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $13.63	Professional		$13.63	$13.63	$13.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.71 / $41.71	Professional		$15.69	$36.71	$41.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $16.36	Facility		$12.13	$12.13	$16.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $85.80 / $170.95	Facility		$12.13	$85.80	$170.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $13.63 / $39.96	Professional		$7.99	$13.63	$39.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $28.09 / $85.00	Professional		$6.75	$28.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $16.36	Facility		$12.13	$12.13	$16.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $33.26 / $107.64	Professional		$16.67	$33.26	$107.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $27.26 / $100.00	Facility		$27.26	$27.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $8.98 / $13.33	Professional		$7.22	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $29.03 / $29.25	Professional		$29.03	$29.03	$29.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $55.66 / $74.42	Professional		$29.25	$55.66	$74.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $11.24 / $37.76	Professional		$6.82	$11.24	$37.76