Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $72.80 / $225.28	Facility		$20.13	$72.80	$225.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $13.22 / $17.51	Professional		$12.62	$13.22	$17.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $37.93 / $40.11	Facility		$31.37	$37.93	$40.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $58.36	Professional		$7.20	$7.20	$58.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $39.61 / $41.17	Facility		$8.72	$39.61	$41.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $14.59 / $14.59	Professional		$14.59	$14.59	$14.59
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 / $39.29 / $44.65	Professional		$16.93	$39.29	$44.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $17.51	Facility		$12.99	$12.99	$17.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $14.59 / $104.83	Facility		$12.99	$14.59	$104.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $11.67 / $32.42	Professional		$4.68	$11.67	$32.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $21.89 / $85.00	Professional		$7.30	$21.89	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $17.51	Facility		$12.99	$12.99	$17.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $35.64 / $73.76	Professional		$17.82	$35.64	$73.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $29.18 / $69.56	Facility		$29.18	$29.18	$69.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.64 / $14.37	Professional		$7.73	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $31.07	Professional		$29.87	$29.87	$31.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $29.87 / $79.66	Professional		$28.17	$29.87	$79.66
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.67 / $27.16	Professional		$6.13	$11.67	$27.16