Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $178.56 / $272.33	Facility		$46.52	$178.56	$272.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.19 / $35.84	Professional		$15.43	$18.19	$35.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $54.24 / $57.37	Facility		$44.85	$54.24	$57.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $85.09	Professional		$10.30	$10.30	$85.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $56.65 / $58.88	Facility		$14.23	$56.65	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Professional		$20.86	$20.86	$20.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $56.18 / $63.84	Professional		$23.95	$56.18	$63.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $25.03	Facility		$18.57	$18.57	$25.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $95.36 / $155.69	Facility		$18.57	$95.36	$155.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $16.69 / $54.60	Professional		$12.10	$16.69	$54.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $36.47 / $85.00	Professional		$10.43	$36.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $25.03	Facility		$18.57	$18.57	$25.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $50.69 / $144.94	Professional		$25.50	$50.69	$144.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $41.72 / $100.00	Facility		$41.72	$41.72	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $13.72 / $20.39	Professional		$11.06	$13.72	$20.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $44.42 / $49.44	Professional		$44.42	$44.42	$49.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $49.44 / $113.90	Professional		$49.44	$49.44	$113.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.71 / $54.60	Professional		$12.00	$15.71	$54.60