Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $137.77 / $234.30	Facility		$17.75	$137.77	$234.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.45 / $21.80	Professional		$11.14	$11.45	$21.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $33.46 / $35.39	Facility		$27.67	$33.46	$35.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $52.96	Professional		$9.52	$9.52	$52.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $34.95 / $36.32	Facility		$8.58	$34.95	$36.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $12.87	Professional		$12.87	$12.87	$12.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $38.40 / $43.65	Professional		$14.87	$38.40	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $15.44	Facility		$11.47	$11.47	$15.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $13.12 / $100.00	Facility		$11.47	$13.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $15.04 / $34.75	Professional		$7.72	$15.04	$34.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $25.23 / $85.00	Professional		$6.44	$25.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $15.44	Facility		$11.47	$11.47	$15.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $31.68 / $139.47	Professional		$15.73	$31.68	$139.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $25.74 / $100.00	Facility		$25.74	$25.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.49 / $12.55	Professional		$6.82	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $27.41	Professional		$18.23	$18.23	$27.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $37.40 / $70.27	Professional		$18.23	$37.40	$70.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $12.87 / $34.75	Professional		$7.72	$12.87	$34.75