Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $72.80 / $224.18	Facility		$20.39	$72.80	$224.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $17.73	Professional		$9.61	$13.32	$17.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $38.43 / $40.65	Facility		$31.78	$38.43	$40.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $61.15	Professional		$7.30	$7.30	$61.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $40.15 / $41.73	Facility		$10.08	$40.15	$41.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $14.78	Professional		$14.78	$14.78	$14.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.79 / $45.23	Professional		$16.93	$39.79	$45.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $17.73	Facility		$13.18	$13.18	$17.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.78 / $100.00	Facility		$13.18	$14.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.78 / $43.39	Professional		$8.68	$14.78	$43.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $28.99 / $85.00	Professional		$7.39	$28.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $17.73	Facility		$13.18	$13.18	$17.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $36.43 / $120.79	Professional		$18.07	$36.43	$120.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $29.56 / $100.00	Facility		$29.56	$29.56	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.80 / $14.37	Professional		$7.83	$9.80	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $31.47 / $49.85	Professional		$31.47	$31.47	$49.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $49.85 / $80.70	Professional		$49.85	$49.85	$80.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.49 / $33.20	Professional		$8.68	$12.49	$33.20