Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $92.13 / $172.98	Facility		$24.89	$92.13	$172.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $9.65 / $24.89	Professional		$8.25	$9.65	$24.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.02 / $30.69	Facility		$23.99	$29.02	$30.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $46.17	Professional		$5.51	$5.51	$46.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $30.31 / $31.50	Facility		$8.96	$30.31	$31.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Professional		$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $30.05 / $34.15	Professional		$13.22	$30.05	$34.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $13.39	Facility		$9.94	$9.94	$13.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $24.45 / $72.13	Facility		$9.94	$24.45	$72.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $11.16 / $32.76	Professional		$6.55	$11.16	$32.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $21.88 / $85.00	Professional		$5.58	$21.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $13.39	Facility		$9.94	$9.94	$13.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $27.72 / $90.47	Professional		$13.64	$27.72	$90.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $26.61 / $60.00	Facility		$22.32	$26.61	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $7.35 / $10.98	Professional		$5.91	$7.35	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $23.77 / $50.99	Professional		$23.77	$23.77	$50.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $50.99 / $60.93	Professional		$44.49	$50.99	$60.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.21 / $30.91	Professional		$6.47	$9.21	$30.91