Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $181.91 / $382.51	Facility		$38.77	$181.91	$382.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $33.72	Professional		$18.27	$25.09	$33.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $73.06 / $77.28	Facility		$60.42	$73.06	$77.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $116.27	Professional		$13.88	$13.88	$116.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $76.30 / $79.30	Facility		$19.17	$76.30	$79.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Professional		$28.10	$28.10	$28.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.56 / $138.91	Facility		$77.50	$90.56	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $75.67 / $85.99	Professional		$32.21	$75.67	$85.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $33.72	Facility		$25.02	$25.02	$33.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $33.72 / $143.44	Facility		$25.02	$33.72	$143.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $28.10 / $82.43	Professional		$16.48	$28.10	$82.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $55.00 / $85.00	Professional		$13.91	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $33.72	Facility		$25.02	$25.02	$33.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $68.90 / $218.33	Professional		$34.34	$68.90	$218.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $56.20 / $137.00	Facility		$56.20	$56.20	$137.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $18.62 / $27.44	Professional		$14.89	$18.62	$27.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $59.84 / $80.80	Professional		$59.84	$59.84	$80.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $80.80 / $153.43	Professional		$80.80	$80.80	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $23.55 / $69.55	Professional		$16.30	$23.55	$69.55