Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $161.28 / $431.20	Facility		$24.72	$161.28	$431.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $15.29 / $24.60	Professional		$14.69	$15.29	$24.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $46.59 / $49.28	Facility		$38.53	$46.59	$49.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $74.15	Professional		$8.33	$8.33	$74.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $45.80 / $47.60	Facility		$12.07	$45.80	$47.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Professional		$17.92	$17.92	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.26 / $54.84	Professional		$20.65	$48.26	$54.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $21.50	Facility		$15.02	$15.02	$21.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $21.50 / $161.12	Facility		$15.02	$21.50	$161.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $17.92 / $49.64	Professional		$10.75	$17.92	$49.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $30.16 / $85.00	Professional		$8.96	$30.16	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $21.50	Facility		$15.02	$15.02	$21.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $42.42 / $60.50	Professional		$20.90	$42.42	$60.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $35.84 / $110.92	Facility		$35.84	$35.84	$110.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.11 / $16.47	Professional		$9.50	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $38.15 / $49.44	Professional		$38.15	$38.15	$49.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $79.98 / $97.84	Professional		$49.44	$79.98	$97.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.34 / $49.50	Professional		$9.90	$14.34	$49.50