Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $40.97 / $380.99	Facility		$22.04	$40.97	$380.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $16.66 / $22.04	Professional		$15.06	$16.66	$22.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $47.76 / $50.52	Facility		$39.50	$47.76	$50.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $76.00	Professional		$9.07	$9.07	$76.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $49.88 / $51.84	Facility		$12.35	$49.88	$51.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.47 / $56.21	Professional		$21.06	$49.47	$56.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $22.04	Facility		$16.36	$16.36	$22.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $16.53 / $334.35	Facility		$15.06	$16.53	$334.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.37 / $50.88	Professional		$11.02	$18.37	$50.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $36.01 / $85.00	Professional		$9.19	$36.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $22.04	Facility		$16.36	$16.36	$22.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $45.14 / $230.61	Professional		$22.45	$45.14	$230.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $43.79 / $334.35	Facility		$36.74	$43.79	$334.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $12.08 / $18.03	Professional		$9.74	$12.08	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $39.11 / $217.33	Professional		$39.11	$39.11	$217.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $217.33 / $217.33	Professional		$92.67	$217.33	$217.33
United Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $18.37 / $18.37	Facility		$18.37	$18.37	$18.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $15.40 / $50.34	Professional		$10.65	$15.40	$50.34