Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $254.18 / $838.00	Facility		$26.90	$254.18	$838.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $70.50 / $143.82	Professional		$15.63	$70.50	$143.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $46.62 / $49.31	Facility		$38.54	$46.62	$49.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $74.19	Professional		$8.86	$8.86	$74.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $48.71 / $50.62	Facility		$14.39	$48.71	$50.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $17.93	Professional		$17.93	$17.93	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.28 / $54.86	Professional		$20.65	$48.28	$54.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $21.52	Facility		$15.98	$15.98	$21.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $25.72 / $130.00	Facility		$15.98	$25.72	$130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $17.93 / $64.55	Professional		$10.76	$17.93	$64.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $49.50 / $85.00	Professional		$8.97	$49.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $21.52	Facility		$15.98	$15.98	$21.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $43.56 / $122.98	Professional		$21.92	$43.56	$122.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $42.73 / $119.48	Facility		$35.86	$42.73	$119.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.76 / $17.51	Professional		$9.50	$11.76	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $38.18 / $42.23	Professional		$38.18	$38.18	$42.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $72.59 / $97.90	Professional		$42.23	$72.59	$97.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.76 / $44.40	Professional		$10.40	$14.76	$44.40