Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $95.40 / $472.55	Facility		$16.62	$95.40	$472.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.74 / $31.50	Professional		$10.34	$10.74	$31.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $31.33 / $33.14	Facility		$25.91	$31.33	$33.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $49.86	Professional		$5.95	$5.95	$49.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $12.65 / $34.01	Facility		$11.72	$12.65	$34.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $32.45 / $54.94	Professional		$21.48	$32.45	$54.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $20.58	Facility		$13.09	$13.09	$20.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $16.72 / $133.86	Facility		$13.09	$16.72	$133.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $12.05 / $39.46	Professional		$7.07	$12.05	$39.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $33.26 / $85.00	Professional		$6.03	$33.26	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $20.58	Facility		$13.09	$13.09	$20.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $70.98 / $114.22	Professional		$33.69	$70.98	$114.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $50.00 / $133.86	Facility		$24.10	$50.00	$133.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $14.34 / $26.14	Professional		$6.39	$14.34	$26.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $28.74	Professional		$25.66	$25.66	$28.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $57.14 / $65.79	Professional		$28.74	$57.14	$65.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.18 / $35.36	Professional		$7.23	$10.18	$35.36