Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $130.31 / $273.24	Facility		$23.82	$130.31	$273.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.77 / $17.02	Professional		$11.06	$12.77	$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 $9.53 / $38.49 / $40.01	Facility		$9.53	$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 $12.63 / $29.72 / $112.21	Facility		$12.63	$29.72	$112.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.18 / $46.44	Professional		$8.32	$14.18	$46.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $27.79 / $85.00	Professional		$7.09	$27.79	$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 / $92.26	Professional		$17.32	$34.85	$92.26
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 / $30.69	Professional		$30.20	$30.20	$30.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $30.69 / $77.42	Professional		$30.69	$30.69	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $11.34 / $31.83	Professional		$7.09	$11.34	$31.83