Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $165.44 / $300.48	Facility		$42.78	$165.44	$300.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.19 / $25.47	Professional		$19.10	$22.19	$25.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $66.22 / $70.04	Facility		$54.76	$66.22	$70.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $105.38	Professional		$12.58	$12.58	$105.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $69.17 / $71.88	Facility		$17.38	$69.17	$71.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Professional		$25.47	$25.47	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.59 / $77.94	Professional		$29.32	$68.59	$77.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $30.56	Facility		$22.68	$22.68	$30.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $33.52 / $249.34	Facility		$22.68	$33.52	$249.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $25.47 / $96.99	Professional		$14.77	$25.47	$96.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $49.92 / $85.00	Professional		$12.74	$49.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $30.56	Facility		$22.68	$22.68	$30.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $62.57 / $237.20	Professional		$31.13	$62.57	$237.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $50.94 / $121.47	Facility		$50.94	$50.94	$121.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.82 / $24.83	Professional		$13.50	$16.82	$24.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $54.24 / $73.13	Professional		$54.24	$54.24	$73.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $73.13 / $139.07	Professional		$73.13	$73.13	$139.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.96 / $69.80	Professional		$12.74	$20.96	$69.80