Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $65.45 / $310.42	Facility		$24.80	$65.45	$310.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.01 / $19.43	Professional		$17.32	$18.01	$19.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $53.74 / $56.84	Facility		$44.44	$53.74	$56.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $10.21 / $85.52	Professional		$10.21	$10.21	$85.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $56.14 / $58.34	Facility		$14.10	$56.14	$58.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $20.67 / $20.67	Professional		$20.67	$20.67	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $101.77	Facility		$56.77	$66.34	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $55.66 / $63.25	Professional		$23.95	$55.66	$63.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $24.80	Facility		$18.41	$18.41	$24.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $18.60 / $99.06	Facility		$16.95	$18.60	$99.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.67 / $57.26	Professional		$12.13	$20.67	$57.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $40.54 / $85.00	Professional		$10.34	$40.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $24.80	Facility		$18.41	$18.41	$24.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $50.69 / $81.73	Professional		$25.27	$50.69	$81.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $99.06	Facility		$41.34	$41.34	$99.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.72 / $20.12	Professional		$10.96	$13.72	$20.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $44.02	Professional		$21.27	$21.27	$44.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $91.96 / $112.86	Professional		$21.27	$91.96	$112.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $16.89 / $51.19	Professional		$10.34	$16.89	$51.19