Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $77.40 / $441.24	Facility		$17.30	$77.40	$441.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $10.31 / $60.78	Professional		$9.90	$10.31	$60.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $29.98 / $31.71	Facility		$24.79	$29.98	$31.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $49.38	Professional		$8.53	$8.53	$49.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $31.30 / $32.54	Facility		$7.69	$31.30	$32.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Professional		$11.53	$11.53	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.05 / $35.29	Professional		$13.22	$31.05	$35.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $13.84 / $96.85	Facility		$10.27	$13.84	$96.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.53 / $33.85	Professional		$6.92	$11.53	$33.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $40.71 / $85.00	Professional		$5.77	$40.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $28.51 / $48.30	Professional		$14.09	$28.51	$48.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $96.85	Facility		$23.06	$23.06	$96.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.68 / $11.24	Professional		$6.11	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $66.95	Professional		$24.55	$24.55	$66.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $62.95 / $66.95	Professional		$45.98	$62.95	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $9.74 / $31.60	Professional		$6.69	$9.74	$31.60