Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $145.13 / $215.05	Facility		$30.34	$145.13	$215.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.18 / $26.04	Professional		$17.14	$19.18	$26.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $57.17 / $60.47	Facility		$47.28	$57.17	$60.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $90.98	Professional		$10.86	$10.86	$90.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $59.73 / $62.08	Facility		$15.00	$59.73	$62.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Professional		$21.99	$21.99	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $59.21 / $67.29	Professional		$25.19	$59.21	$67.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $26.39	Facility		$19.59	$19.59	$26.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $21.99 / $124.10	Facility		$19.59	$21.99	$124.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $21.99 / $60.91	Professional		$13.19	$21.99	$60.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $43.11 / $85.00	Professional		$11.00	$43.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $26.39	Facility		$19.59	$19.59	$26.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $53.86 / $220.69	Professional		$26.88	$53.86	$220.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $43.98 / $124.10	Facility		$43.98	$43.98	$124.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $14.53 / $21.43	Professional		$11.65	$14.53	$21.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $46.83 / $71.38	Professional		$46.83	$46.83	$71.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $104.29 / $120.07	Professional		$71.38	$104.29	$120.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $18.14 / $54.45	Professional		$12.75	$18.14	$54.45