Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $107.92 / $168.46	Facility		$44.16	$107.92	$168.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.63 / $10.49	Professional		$6.56	$7.63	$10.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $22.72 / $24.04	Facility		$18.79	$22.72	$24.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $5.33 / $36.15	Professional		$4.32	$5.33	$36.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $23.73 / $24.66	Facility		$5.96	$23.73	$24.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.54 / $26.75	Professional		$9.91	$23.54	$26.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $7.79 / $10.49	Facility		$7.79	$7.79	$10.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $42.13 / $101.06	Facility		$7.79	$42.13	$101.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $7.38 / $21.63	Professional		$5.07	$7.38	$21.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $17.13 / $85.00	Professional		$4.37	$17.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $7.79 / $10.49	Facility		$7.79	$7.79	$10.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $21.38 / $74.67	Professional		$10.68	$21.38	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $100.00	Facility		$17.48	$17.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.72 / $8.61	Professional		$4.63	$5.72	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $18.61	Professional		$11.33	$11.33	$18.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $47.72	Professional		$11.33	$11.33	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.21 / $23.95	Professional		$4.37	$7.21	$23.95