Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $164.56 / $283.16	Facility		$67.45	$164.56	$283.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.55 / $30.10	Professional		$12.04	$13.55	$30.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.13 / $41.39	Facility		$32.36	$39.13	$41.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $61.97	Professional		$7.44	$7.44	$61.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $40.89 / $42.49	Facility		$9.26	$40.89	$42.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Professional		$15.05	$15.05	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $44.91 / $51.04	Professional		$17.35	$44.91	$51.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $18.05	Facility		$13.41	$13.41	$18.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $90.78 / $202.12	Facility		$13.41	$90.78	$202.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $20.49 / $74.78	Professional		$9.02	$20.49	$74.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $29.52 / $85.00	Professional		$7.53	$29.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $18.05	Facility		$13.41	$13.41	$18.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $37.22 / $65.02	Professional		$18.39	$37.22	$65.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $100.00	Facility		$30.10	$30.10	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $9.96 / $14.64	Professional		$7.98	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.34	Professional		$32.04	$32.04	$32.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.93 / $82.17	Professional		$32.34	$75.93	$82.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.05 / $40.64	Professional		$9.02	$15.05	$40.64