Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $110.68 / $362.56	Facility		$16.01	$110.68	$362.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.11 / $13.41	Professional		$9.52	$10.11	$13.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $30.19 / $31.93	Facility		$24.96	$30.19	$31.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $48.04	Professional		$5.73	$5.73	$48.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $31.53 / $32.77	Facility		$7.92	$31.53	$32.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Professional		$11.61	$11.61	$11.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.26 / $35.53	Professional		$13.22	$31.26	$35.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $13.93	Facility		$10.33	$10.33	$13.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $11.81 / $100.00	Facility		$10.33	$11.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.61 / $34.02	Professional		$6.97	$11.61	$34.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $22.74 / $85.00	Professional		$5.81	$22.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $13.93	Facility		$10.33	$10.33	$13.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $28.51 / $120.79	Professional		$14.19	$28.51	$120.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $23.22 / $100.00	Facility		$23.22	$23.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.68 / $11.24	Professional		$6.15	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $24.72 / $67.65	Professional		$24.72	$24.72	$67.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $63.39 / $67.65	Professional		$46.27	$63.39	$67.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $9.72 / $31.82	Professional		$6.73	$9.72	$31.82