Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $141.10 / $219.60	Facility		$29.99	$141.10	$219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.55 / $26.83	Professional		$16.07	$19.55	$26.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $56.50 / $59.76	Facility		$46.72	$56.50	$59.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $89.91	Professional		$10.73	$10.73	$89.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $59.02 / $61.34	Facility		$14.83	$59.02	$61.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $21.73 / $21.73	Professional		$21.73	$21.73	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $58.52 / $66.50	Professional		$24.78	$58.52	$66.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $26.08	Facility		$19.36	$19.36	$26.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $26.08 / $110.84	Facility		$19.36	$26.08	$110.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $21.73 / $60.19	Professional		$12.75	$21.73	$60.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $42.60 / $85.00	Professional		$10.87	$42.60	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $26.08	Facility		$19.36	$19.36	$26.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $53.06 / $107.82	Professional		$26.57	$53.06	$107.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $43.46 / $103.80	Facility		$43.46	$43.46	$103.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.37 / $21.17	Professional		$11.52	$14.37	$21.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $35.02 / $46.27	Professional		$35.02	$35.02	$46.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $79.86 / $118.65	Professional		$35.02	$79.86	$118.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $17.38 / $53.79	Professional		$10.87	$17.38	$53.79