Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $108.94 / $153.90	Facility		$17.36	$108.94	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.40 / $17.27	Professional		$10.96	$11.40	$17.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $32.71 / $34.60	Facility		$27.05	$32.71	$34.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $52.05	Professional		$6.21	$6.21	$52.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $34.14 / $35.47	Facility		$8.58	$34.14	$35.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Professional		$12.58	$12.58	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $33.88 / $38.50	Professional		$14.46	$33.88	$38.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $15.10	Facility		$11.21	$11.21	$15.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $12.57 / $114.64	Facility		$10.32	$12.57	$114.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $12.58 / $34.85	Professional		$7.38	$12.58	$34.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $24.66 / $85.00	Professional		$6.29	$24.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $15.10	Facility		$11.21	$11.21	$15.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $30.89 / $131.77	Professional		$15.37	$30.89	$131.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $25.16 / $100.00	Facility		$25.16	$25.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.33 / $12.28	Professional		$6.67	$8.33	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $26.79	Professional		$24.41	$24.41	$26.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $68.69	Professional		$24.41	$24.41	$68.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $10.62 / $36.92	Professional		$7.54	$10.62	$36.92