Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $78.09 / $434.72	Facility		$21.18	$78.09	$434.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.59 / $21.18	Professional		$15.06	$15.59	$21.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $45.89 / $48.54	Facility		$37.95	$45.89	$48.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $72.01	Professional		$8.55	$8.55	$72.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $47.05 / $48.90	Facility		$11.99	$47.05	$48.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Professional		$17.64	$17.64	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $47.53 / $54.01	Professional		$20.65	$47.53	$54.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $21.18	Facility		$15.42	$15.42	$21.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $15.89 / $96.00	Facility		$14.47	$15.89	$96.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $14.15 / $38.47	Professional		$8.83	$14.15	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $26.48 / $85.00	Professional		$8.83	$26.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $21.18	Facility		$15.42	$15.42	$21.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $43.56 / $65.89	Professional		$21.18	$43.56	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $96.00	Facility		$35.29	$35.29	$96.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.43 / $16.98	Professional		$9.35	$11.43	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $65.81	Professional		$37.59	$37.59	$65.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $65.81 / $96.37	Professional		$55.54	$65.81	$96.37
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $10.59 / $38.47	Professional		$8.83	$10.59	$38.47