Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $118.28 / $252.48	Facility		$23.95	$118.28	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.72 / $12.89	Professional		$9.36	$9.72	$12.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $27.92 / $29.54	Facility		$23.09	$27.92	$29.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.55 / $44.44	Professional		$5.30	$6.55	$44.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $11.28 / $33.28	Facility		$9.96	$11.28	$33.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.92 / $52.52	Professional		$21.48	$28.92	$52.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $20.58	Facility		$13.09	$13.09	$20.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $21.48 / $125.61	Facility		$13.09	$21.48	$125.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $10.74 / $31.52	Professional		$6.30	$10.74	$31.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $29.64 / $85.00	Professional		$5.37	$29.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $20.58	Facility		$13.09	$13.09	$20.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $65.64 / $93.03	Professional		$31.15	$65.64	$93.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $125.61	Facility		$21.48	$21.48	$125.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $13.70 / $24.57	Professional		$5.69	$13.70	$24.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $27.04	Professional		$22.87	$22.87	$27.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $27.04 / $58.64	Professional		$27.04	$27.04	$58.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $8.86 / $29.43	Professional		$6.23	$8.86	$29.43