Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $225.60 / $437.47	Facility		$43.77	$225.60	$437.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.66 / $23.56	Professional		$12.76	$17.66	$23.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $51.04 / $53.98	Facility		$42.20	$51.04	$53.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $81.23	Professional		$9.69	$9.69	$81.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $53.30 / $55.40	Facility		$13.39	$53.30	$55.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Professional		$19.63	$19.63	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.86 / $60.06	Professional		$22.72	$52.86	$60.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $23.56	Facility		$17.48	$17.48	$23.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $23.56 / $191.70	Facility		$17.48	$23.56	$191.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $19.63 / $54.38	Professional		$11.52	$19.63	$54.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $54.20 / $85.00	Professional		$9.82	$54.20	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $23.56	Facility		$17.48	$17.48	$23.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.31 / $67.09	Professional		$23.99	$48.31	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $93.24	Facility		$39.26	$39.26	$93.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $12.90	Professional		$10.40	$10.40	$12.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $221.63	Professional		$41.80	$41.80	$221.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $107.18 / $221.63	Professional		$78.26	$107.18	$221.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.45 / $53.80	Professional		$11.39	$16.45	$53.80