Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $217.88 / $663.36	Facility		$18.00	$217.88	$663.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $20.94 / $40.84	Professional		$10.40	$20.94	$40.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $31.20 / $33.00	Facility		$25.80	$31.20	$33.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $49.65	Professional		$5.92	$5.92	$49.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $32.57 / $33.86	Facility		$9.63	$32.57	$33.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.32 / $36.72	Professional		$13.63	$32.32	$36.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.40	Facility		$10.70	$10.70	$14.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $24.00 / $126.29	Facility		$10.70	$24.00	$126.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $12.00 / $35.24	Professional		$7.05	$12.00	$35.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $23.54 / $85.00	Professional		$6.00	$23.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.40	Facility		$10.70	$10.70	$14.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $29.30 / $109.82	Professional		$14.66	$29.30	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $28.60 / $88.55	Facility		$24.00	$28.60	$88.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.84 / $11.76	Professional		$6.36	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $25.55	Professional		$17.51	$17.51	$25.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $47.84 / $65.52	Professional		$17.51	$47.84	$65.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $9.88 / $32.89	Professional		$6.00	$9.88	$32.89