Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $107.02 / $140.38	Facility		$16.32	$107.02	$140.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $12.12 / $19.04	Professional		$11.15	$12.12	$19.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $35.36 / $37.40	Facility		$29.24	$35.36	$37.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $56.27	Professional		$6.72	$6.72	$56.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $36.93 / $38.38	Facility		$9.27	$36.93	$38.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $13.60	Professional		$13.60	$13.60	$13.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.61 / $41.61	Professional		$15.69	$36.61	$41.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.11 / $16.32	Facility		$12.11	$12.11	$16.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $13.60 / $72.80	Facility		$12.11	$13.60	$72.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $13.60 / $37.67	Professional		$7.98	$13.60	$37.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $26.64 / $85.00	Professional		$6.80	$26.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.11 / $16.32	Facility		$12.11	$12.11	$16.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $32.39 / $46.20	Professional		$16.62	$32.39	$46.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $72.80	Facility		$27.20	$27.20	$72.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $8.98 / $13.33	Professional		$7.21	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.96 / $107.91	Professional		$28.96	$28.96	$107.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $74.26 / $107.91	Professional		$54.20	$74.26	$107.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $11.19 / $33.67	Professional		$6.80	$11.19	$33.67