Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $60.72 / $320.54	Facility		$19.57	$60.72	$320.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.36 / $17.02	Professional		$11.88	$12.36	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $36.86 / $39.00	Facility		$30.49	$36.86	$39.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $58.67	Professional		$7.00	$7.00	$58.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $38.49 / $40.01	Facility		$9.67	$38.49	$40.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Professional		$14.18	$14.18	$14.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.18 / $43.39	Professional		$16.52	$38.18	$43.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $17.02	Facility		$12.63	$12.63	$17.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $13.65 / $100.00	Facility		$11.63	$13.65	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.18 / $41.60	Professional		$8.51	$14.18	$41.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $39.14 / $85.00	Professional		$12.09	$39.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $17.02	Facility		$12.63	$12.63	$17.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $34.85 / $48.40	Professional		$17.32	$34.85	$48.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $100.00	Facility		$28.36	$28.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.31 / $13.85	Professional		$7.52	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $47.38	Professional		$30.20	$30.20	$47.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $67.23 / $77.42	Professional		$47.38	$67.23	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.34 / $32.15	Professional		$8.32	$12.34	$32.15