Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $96.38 / $807.76	Facility		$18.05	$96.38	$807.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.30 / $43.93	Professional		$10.73	$15.30	$43.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $34.03 / $36.00	Facility		$28.14	$34.03	$36.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $53.39	Professional		$6.46	$6.46	$53.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $35.56 / $36.96	Facility		$8.93	$35.56	$36.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $13.09	Professional		$13.09	$13.09	$13.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $35.24 / $40.04	Professional		$14.87	$35.24	$40.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $15.71	Facility		$11.66	$11.66	$15.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $12.60 / $171.59	Facility		$10.73	$12.60	$171.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.26 / $32.79	Professional		$7.59	$12.26	$32.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $21.91 / $85.00	Professional		$6.55	$21.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $15.71	Facility		$11.66	$11.66	$15.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $31.68 / $84.12	Professional		$16.01	$31.68	$84.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $26.18 / $171.59	Facility		$26.18	$26.18	$171.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.66 / $12.81	Professional		$6.94	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $103.00	Professional		$27.88	$27.88	$103.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $103.00 / $103.00	Professional		$44.55	$103.00	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $10.47 / $32.79	Professional		$6.55	$10.47	$32.79