Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $166.13 / $247.72	Facility		$25.39	$166.13	$247.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.09 / $35.34	Professional		$12.88	$15.09	$35.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $47.84 / $50.60	Facility		$39.56	$47.84	$50.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $75.05	Professional		$7.36	$7.36	$75.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $44.97 / $46.74	Facility		$12.27	$44.97	$46.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.54 / $56.30	Professional		$21.06	$49.54	$56.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $13.00 / $22.08	Facility		$12.03	$13.00	$22.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $16.55 / $105.37	Facility		$12.03	$16.55	$105.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.82 / $39.65	Professional		$9.86	$14.82	$39.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $27.60 / $85.00	Professional		$9.19	$27.60	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $13.00 / $22.08	Facility		$12.03	$13.00	$22.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $45.14 / $162.51	Professional		$21.66	$45.14	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $105.37	Facility		$36.79	$36.79	$105.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.02 / $13.33	Professional		$8.98	$9.02	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $39.18 / $110.57	Professional		$39.18	$39.18	$110.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $110.57 / $110.57	Professional		$53.85	$110.57	$110.57
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.33 / $34.25	Professional		$9.19	$11.33	$34.25