Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $83.42 / $254.40	Facility		$24.30	$83.42	$254.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.69 / $32.47	Professional		$4.51	$4.69	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13.47 / $14.25	Facility		$11.14	$13.47	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $21.28	Professional		$3.83	$3.83	$21.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $14.05 / $14.61	Facility		$4.07	$14.05	$14.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $15.46 / $17.55	Professional		$5.78	$15.46	$17.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $29.41 / $90.00	Facility		$4.61	$29.41	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $7.05 / $19.67	Professional		$3.11	$7.05	$19.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $14.30 / $85.00	Professional		$2.59	$14.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.67 / $51.17	Professional		$6.99	$12.67	$51.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $12.33 / $60.00	Facility		$10.36	$12.33	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.43 / $4.97	Professional		$2.75	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $11.03	Professional		$10.71	$10.71	$11.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $20.63 / $28.28	Professional		$10.71	$20.63	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $13.99	Professional		$3.11	$5.18	$13.99