Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $78.84 / $165.12	Facility		$15.77	$78.84	$165.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.22 / $13.34	Professional		$8.44	$10.22	$13.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $29.72 / $31.43	Facility		$24.57	$29.72	$31.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $47.30	Professional		$5.64	$5.64	$47.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $31.04 / $32.26	Facility		$7.80	$31.04	$32.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Professional		$11.43	$11.43	$11.43
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 / $30.78 / $34.97	Professional		$13.22	$30.78	$34.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $13.72	Facility		$10.19	$10.19	$13.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $13.72 / $117.92	Facility		$10.19	$13.72	$117.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $11.43 / $33.56	Professional		$6.71	$11.43	$33.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $31.55 / $85.00	Professional		$5.72	$31.55	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $13.72	Facility		$10.19	$10.19	$13.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $27.72 / $142.77	Professional		$13.97	$27.72	$142.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $22.86 / $100.00	Facility		$22.86	$22.86	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.51 / $11.24	Professional		$6.06	$7.51	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $24.34 / $25.24	Professional		$24.34	$24.34	$25.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $57.60 / $62.41	Professional		$25.24	$57.60	$62.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $11.43 / $25.92	Professional		$6.63	$11.43	$25.92