Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $81.00 / $175.98	Facility		$21.40	$81.00	$175.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $16.17 / $28.66	Professional		$15.31	$16.17	$28.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $10.87 / $73.78	Professional		$8.80	$10.87	$73.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $18.72 / $50.32	Facility		$11.51	$18.72	$50.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $48.02 / $65.80	Professional		$21.48	$48.02	$65.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $21.40	Facility		$16.97	$16.97	$21.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $17.16 / $159.84	Facility		$14.62	$17.16	$159.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $17.82 / $49.39	Professional		$10.70	$17.82	$49.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $49.21 / $85.00	Professional		$8.92	$49.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $21.40	Facility		$16.97	$16.97	$21.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $82.44 / $116.83	Professional		$41.04	$82.44	$116.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $159.84	Facility		$35.65	$35.65	$159.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $17.04 / $31.30	Professional		$9.44	$17.04	$31.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $37.97 / $66.12	Professional		$37.97	$37.97	$66.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $66.12 / $97.35	Professional		$66.12	$66.12	$97.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $14.95 / $48.86	Professional		$10.34	$14.95	$48.86