Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $41.01 / $153.90	Facility		$17.28	$41.01	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.55 / $22.07	Professional		$13.79	$16.55	$22.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $47.81 / $50.57	Facility		$39.54	$47.81	$50.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $76.09	Professional		$9.08	$9.08	$76.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $49.96 / $51.92	Facility		$12.55	$49.96	$51.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.52 / $56.28	Professional		$21.06	$49.52	$56.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $22.07	Facility		$16.38	$16.38	$22.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $18.39 / $128.74	Facility		$16.38	$18.39	$128.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.39 / $50.94	Professional		$11.03	$18.39	$50.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $36.07 / $85.00	Professional		$9.19	$36.07	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $22.07	Facility		$16.38	$16.38	$22.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $45.14 / $77.83	Professional		$22.48	$45.14	$77.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $96.88	Facility		$36.78	$36.78	$96.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.08 / $18.03	Professional		$9.75	$12.08	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $74.16	Professional		$39.15	$39.15	$74.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $74.16 / $100.41	Professional		$72.59	$74.16	$100.41
United Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.53 / $45.54	Professional		$10.67	$15.53	$45.54