Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $95.79 / $152.43	Facility		$47.96	$95.79	$152.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.33 / $19.42	Professional		$7.18	$8.33	$19.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $25.25 / $26.70	Facility		$20.88	$25.25	$26.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $41.60	Professional		$7.19	$7.19	$41.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $26.37 / $27.41	Facility		$6.48	$26.37	$27.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.15 / $29.71	Professional		$11.15	$26.15	$29.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $11.65	Facility		$8.49	$8.49	$11.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $80.44 / $141.97	Facility		$9.13	$80.44	$141.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.71 / $31.80	Professional		$5.83	$9.71	$31.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $19.03 / $85.00	Professional		$4.86	$19.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $11.65	Facility		$8.49	$8.49	$11.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $23.76 / $74.67	Professional		$13.10	$23.76	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $19.42 / $100.00	Facility		$19.42	$19.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.37 / $9.41	Professional		$5.15	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $15.19 / $20.68	Professional		$15.19	$15.19	$20.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $15.19 / $53.02	Professional		$15.19	$15.19	$53.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.19 / $26.61	Professional		$5.63	$8.19	$26.61