Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $113.37 / $254.40	Facility		$53.20	$113.37	$254.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.88 / $11.13	Professional		$6.31	$7.88	$11.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $23.45 / $24.81	Facility		$19.39	$23.45	$24.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.11 / $37.33	Professional		$5.11	$5.11	$37.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $24.49 / $25.45	Facility		$6.16	$24.49	$25.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $24.29 / $27.60	Professional		$10.33	$24.29	$27.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.02 / $10.82	Facility		$8.02	$8.02	$10.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $64.58 / $149.12	Facility		$8.02	$64.58	$149.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.02 / $59.52	Professional		$5.41	$9.02	$59.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $17.67 / $85.00	Professional		$4.51	$17.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.02 / $10.82	Facility		$8.02	$8.02	$10.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.18 / $92.26	Professional		$11.02	$22.18	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $18.04 / $100.00	Facility		$18.04	$18.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.88 / $8.89	Professional		$4.78	$5.88	$8.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $19.21 / $31.42	Professional		$19.21	$19.21	$31.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $36.29 / $49.25	Professional		$31.42	$36.29	$49.25
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.85 / $26.46	Professional		$5.41	$7.85	$26.46