Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $153.56 / $464.86	Facility		$33.57	$153.56	$464.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $8.42 / $26.51	Professional		$7.89	$8.42	$26.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $24.18 / $25.58	Facility		$20.00	$24.18	$25.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.67 / $38.47	Professional		$4.59	$5.67	$38.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $25.27 / $26.26	Facility		$6.35	$25.27	$26.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.05 / $28.46	Professional		$10.74	$25.05	$28.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $11.16	Facility		$8.27	$8.27	$11.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $42.78 / $121.75	Facility		$8.27	$42.78	$121.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $9.30 / $30.45	Professional		$5.46	$9.30	$30.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $18.22 / $85.00	Professional		$4.65	$18.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $11.16	Facility		$8.27	$8.27	$11.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $22.97 / $139.47	Professional		$11.37	$22.97	$139.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $100.00	Facility		$18.60	$18.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $6.21 / $9.15	Professional		$4.93	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $25.03	Professional		$19.80	$19.80	$25.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $27.03 / $50.78	Professional		$25.03	$27.03	$50.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.85 / $27.28	Professional		$5.58	$7.85	$27.28