Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $156.43 / $422.66	Facility		$36.47	$156.43	$422.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.22 / $25.45	Professional		$14.34	$15.22	$25.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $55.15 / $58.33	Facility		$45.60	$55.15	$58.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $86.52	Professional		$8.48	$8.48	$86.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $51.83 / $53.87	Facility		$14.15	$51.83	$53.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Professional		$21.21	$21.21	$21.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.11 / $64.90	Professional		$24.37	$57.11	$64.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $15.84 / $25.45	Facility		$14.66	$15.84	$25.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $25.45 / $147.00	Facility		$14.66	$25.45	$147.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $21.21 / $56.25	Professional		$12.65	$21.21	$56.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $55.00 / $85.00	Professional		$10.61	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $15.84 / $25.45	Facility		$14.66	$15.84	$25.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $52.27 / $71.40	Professional		$25.08	$52.27	$71.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $147.00	Facility		$42.42	$42.42	$147.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.02 / $16.20	Professional		$10.78	$11.02	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $45.17 / $77.25	Professional		$45.17	$45.17	$77.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $77.25 / $115.81	Professional		$69.94	$77.25	$115.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $13.90 / $40.75	Professional		$11.45	$13.90	$40.75