Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $59.50 / $121.75	Facility		$15.75	$59.50	$121.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.64 / $16.14	Professional		$8.32	$8.64	$16.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.58 / $27.30 / $28.88	Facility		$22.58	$27.30	$28.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $7.07 / $43.20	Professional		$7.07	$7.07	$43.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $25.90 / $26.92	Facility		$7.18	$25.90	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $28.27 / $32.13	Professional		$11.98	$28.27	$32.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $12.60	Facility		$8.49	$8.49	$12.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $21.00 / $78.05	Facility		$8.49	$21.00	$78.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $10.50 / $27.99	Professional		$6.09	$10.50	$27.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $33.66 / $85.00	Professional		$5.25	$33.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $12.60	Facility		$8.49	$8.49	$12.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $25.34 / $79.06	Professional		$12.16	$25.34	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $60.00	Facility		$21.00	$21.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.37 / $9.41	Professional		$5.57	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $41.41	Professional		$22.36	$22.36	$41.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $41.41 / $57.33	Professional		$36.29	$41.41	$57.33
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.40 / $29.09	Professional		$5.25	$8.40	$29.09