Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $125.26 / $246.39	Facility		$75.69	$125.26	$246.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.34 / $72.54	Professional		$9.31	$12.34	$72.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $30.08 / $31.82	Facility		$24.88	$30.08	$31.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $47.86	Professional		$7.91	$7.91	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $29.01 / $30.15	Facility		$7.94	$29.01	$30.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Professional		$11.57	$11.57	$11.57
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 / $31.15 / $35.40	Professional		$13.22	$31.15	$35.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $13.88	Facility		$9.51	$9.51	$13.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $102.15 / $146.00	Facility		$9.51	$102.15	$146.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.57 / $31.33	Professional		$6.94	$11.57	$31.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $20.94 / $85.00	Professional		$5.79	$20.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $13.88	Facility		$9.51	$9.51	$13.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $28.51 / $39.99	Professional		$13.68	$28.51	$39.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.14 / $100.00	Facility		$23.14	$23.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.02 / $10.45	Professional		$6.13	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $24.64 / $30.28	Professional		$24.64	$24.64	$30.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $30.28 / $63.17	Professional		$30.28	$30.28	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.02 / $23.97	Professional		$6.41	$9.02	$23.97