Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $99.73 / $156.19	Facility		$18.07	$99.73	$156.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $10.84 / $21.48	Professional		$7.83	$10.84	$21.48
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 $11.63 / $12.65 / $34.01	Facility		$11.63	$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 $13.35 / $13.35 / $20.58	Facility		$13.35	$13.35	$20.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $14.46 / $133.86	Facility		$13.35	$14.46	$133.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $12.05 / $33.97	Professional		$7.07	$12.05	$33.97
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 $13.35 / $13.35 / $20.58	Facility		$13.35	$13.35	$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 / $25.87	Professional		$6.39	$14.34	$25.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $25.66	Professional		$17.51	$17.51	$25.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $65.79	Professional		$17.51	$17.51	$65.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.18 / $35.36	Professional		$7.23	$10.18	$35.36