Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $100.01 / $248.60	Facility		$25.40	$100.01	$248.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $9.92 / $15.64	Professional		$8.93	$9.92	$15.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $29.61 / $31.32	Facility		$24.49	$29.61	$31.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $46.89	Professional		$5.62	$5.62	$46.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $30.91 / $32.13	Facility		$6.87	$30.91	$32.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $11.39	Professional		$11.39	$11.39	$11.39
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 / $30.67 / $34.85	Professional		$13.22	$30.67	$34.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $13.67	Facility		$10.14	$10.14	$13.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $13.67 / $100.00	Facility		$10.14	$13.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $11.39 / $37.29	Professional		$6.83	$11.39	$37.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $20.32 / $85.00	Professional		$5.70	$20.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $13.67	Facility		$10.14	$10.14	$13.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $27.72 / $48.73	Professional		$13.92	$27.72	$48.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $100.00	Facility		$22.78	$22.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.51 / $11.24	Professional		$6.04	$7.51	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $24.26 / $25.34	Professional		$24.26	$24.26	$25.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $41.30 / $62.19	Professional		$25.34	$41.30	$62.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.11 / $30.43	Professional		$6.61	$9.11	$30.43