Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $147.69 / $205.10	Facility		$69.34	$147.69	$205.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.82 / $17.98	Professional		$10.87	$12.82	$17.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $38.22 / $40.43	Facility		$31.61	$38.22	$40.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $60.82	Professional		$7.26	$7.26	$60.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $39.93 / $41.50	Facility		$10.02	$39.93	$41.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.59 / $44.99	Professional		$16.93	$39.59	$44.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $17.64	Facility		$13.10	$13.10	$17.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $70.04 / $161.12	Facility		$13.10	$70.04	$161.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.70 / $43.13	Professional		$8.52	$14.70	$43.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $28.81 / $85.00	Professional		$7.35	$28.81	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $17.64	Facility		$13.10	$13.10	$17.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $35.64 / $127.39	Professional		$17.97	$35.64	$127.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $29.40 / $100.00	Facility		$29.40	$29.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.64 / $14.37	Professional		$7.79	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $31.30	Professional		$24.41	$24.41	$31.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $42.72 / $80.26	Professional		$24.41	$42.72	$80.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $12.32 / $36.39	Professional		$7.35	$12.32	$36.39