Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $130.09 / $256.06	Facility		$26.43	$130.09	$256.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.67 / $16.27	Professional		$10.33	$10.67	$16.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $30.81 / $32.59	Facility		$25.48	$30.81	$32.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $5.85 / $49.04	Professional		$5.85	$5.85	$49.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $32.19 / $33.45	Facility		$8.09	$32.19	$33.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Professional		$11.85	$11.85	$11.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $31.91 / $36.26	Professional		$13.63	$31.91	$36.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.56 / $14.22	Facility		$10.56	$10.56	$14.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $11.41 / $144.00	Facility		$10.56	$11.41	$144.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.01 / $32.82	Professional		$6.87	$10.01	$32.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $23.24 / $85.00	Professional		$5.93	$23.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.56 / $14.22	Facility		$10.56	$10.56	$14.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $29.30 / $140.56	Professional		$14.49	$29.30	$140.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $144.00	Facility		$23.70	$23.70	$144.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $7.84 / $11.50	Professional		$6.28	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $47.28	Professional		$25.24	$25.24	$47.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $56.21 / $64.70	Professional		$47.26	$56.21	$64.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $9.76 / $26.61	Professional		$6.87	$9.76	$26.61