Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $130.16 / $269.76	Facility		$29.33	$130.16	$269.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $19.12 / $29.19	Professional		$16.37	$19.12	$29.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $55.28 / $58.47	Facility		$45.71	$55.28	$58.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $87.96	Professional		$10.50	$10.50	$87.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $57.75 / $60.02	Facility		$14.50	$57.75	$60.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $21.26	Professional		$21.26	$21.26	$21.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.24 / $65.05	Professional		$24.37	$57.24	$65.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $18.93 / $25.51	Facility		$18.93	$18.93	$25.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $21.26 / $183.00	Facility		$18.93	$21.26	$183.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $21.26 / $69.62	Professional		$12.47	$21.26	$69.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $41.67 / $85.00	Professional		$10.63	$41.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $18.93 / $25.51	Facility		$18.93	$18.93	$25.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $52.27 / $197.64	Professional		$25.99	$52.27	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.52 / $42.52 / $183.00	Facility		$42.52	$42.52	$183.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $14.04 / $20.91	Professional		$11.27	$14.04	$20.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $56.65	Professional		$45.27	$45.27	$56.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $56.65 / $116.08	Professional		$56.65	$56.65	$116.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $17.53 / $58.26	Professional		$10.63	$17.53	$58.26