Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $41.14 / $131.79	Facility		$27.72	$41.14	$131.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $16.07 / $32.15	Professional		$15.73	$16.07	$32.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $62.69 / $66.30	Facility		$51.84	$62.69	$66.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $98.35	Professional		$9.64	$9.64	$98.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $58.93 / $61.24	Facility		$16.01	$58.93	$61.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Professional		$24.11	$24.11	$24.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $64.92 / $73.78	Professional		$28.08	$64.92	$73.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $28.93	Facility		$16.07	$17.37	$28.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $21.70 / $188.00	Facility		$16.07	$21.70	$188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $24.11 / $52.98	Professional		$13.98	$24.11	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $55.00 / $85.00	Professional		$12.06	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $28.93	Facility		$16.07	$17.37	$28.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $59.40 / $82.50	Professional		$28.50	$59.40	$82.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $48.22 / $188.00	Facility		$48.22	$48.22	$188.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $12.08 / $17.77	Professional		$11.92	$12.08	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $139.77	Professional		$51.34	$51.34	$139.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $131.63 / $139.77	Professional		$74.05	$131.63	$139.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $15.25 / $44.88	Professional		$13.02	$15.25	$44.88