Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $90.24 / $144.82	Facility		$37.04	$90.24	$144.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.76 / $21.50	Professional		$4.84	$5.76	$21.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.82 / $17.79	Facility		$13.91	$16.82	$17.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $26.77	Professional		$4.79	$4.79	$26.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $17.55 / $18.23	Facility		$4.30	$17.55	$18.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Professional		$6.47	$6.47	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.42 / $19.80	Professional		$7.43	$17.42	$19.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.18 / $7.76	Facility		$5.15	$5.18	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $71.09 / $117.03	Facility		$6.47	$71.09	$117.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.47 / $49.37	Professional		$3.80	$6.47	$49.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $12.69 / $85.00	Professional		$3.24	$12.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.18 / $7.76	Facility		$5.15	$5.18	$7.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.84 / $76.87	Professional		$8.74	$15.84	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $12.94 / $100.00	Facility		$12.94	$12.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.25 / $6.27	Professional		$3.43	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $13.78	Professional		$9.01	$9.01	$13.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $25.78 / $35.33	Professional		$9.01	$25.78	$35.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.47 / $21.16	Professional		$3.88	$6.47	$21.16