Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $138.08 / $229.02	Facility		$20.61	$138.08	$229.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.99 / $16.48	Professional		$11.69	$11.99	$16.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $35.72 / $37.79	Facility		$29.54	$35.72	$37.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $6.79 / $56.86	Professional		$6.79	$6.79	$56.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $37.32 / $38.79	Facility		$11.03	$37.32	$38.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $37.00 / $42.05	Professional		$15.69	$37.00	$42.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $16.48	Facility		$12.24	$12.24	$16.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $30.03 / $138.53	Facility		$12.24	$30.03	$138.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.74 / $45.01	Professional		$8.06	$13.74	$45.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $26.92 / $85.00	Professional		$6.87	$26.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $16.48	Facility		$12.24	$12.24	$16.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $33.26 / $136.16	Professional		$16.80	$33.26	$136.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $32.74 / $100.00	Facility		$27.48	$32.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.98 / $13.33	Professional		$7.28	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $42.23	Professional		$29.26	$29.26	$42.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $75.02	Professional		$42.23	$42.23	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.60 / $30.84	Professional		$7.97	$11.60	$30.84