Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $35.84 / $141.71	Facility		$19.28	$35.84	$141.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $41.01 / $42.99	Professional		$15.11	$41.01	$42.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $41.78 / $44.19	Facility		$34.54	$41.78	$44.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $64.28	Professional		$7.94	$7.94	$64.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $43.62 / $45.34	Facility		$12.90	$43.62	$45.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.27 / $49.18	Professional		$18.59	$43.27	$49.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $19.28	Facility		$14.31	$14.31	$19.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.46 / $201.69	Facility		$13.18	$14.46	$201.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $12.86 / $35.71	Professional		$4.87	$12.86	$35.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $24.11 / $85.00	Professional		$7.95	$24.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $19.28	Facility		$14.31	$14.31	$19.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $39.60 / $62.24	Professional		$19.64	$39.60	$62.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $38.29 / $201.69	Facility		$32.14	$38.29	$201.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.62 / $15.68	Professional		$8.52	$10.62	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $102.82	Professional		$34.22	$34.22	$102.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $87.74 / $102.82	Professional		$29.34	$87.74	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $12.86 / $29.91	Professional		$4.91	$12.86	$29.91