Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $96.00 / $175.56	Facility		$24.97	$96.00	$175.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $18.73 / $24.97	Professional		$16.02	$18.73	$24.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $54.11 / $57.23	Facility		$44.74	$54.11	$57.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $86.10	Professional		$10.28	$10.28	$86.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $56.53 / $58.75	Facility		$16.71	$56.53	$58.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Professional		$20.81	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $56.03 / $63.68	Professional		$23.95	$56.03	$63.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $18.54 / $24.97	Facility		$18.54	$18.54	$24.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $18.73 / $100.00	Facility		$17.05	$18.73	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $20.81 / $57.64	Professional		$12.49	$20.81	$57.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $40.80 / $85.00	Professional		$10.41	$40.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $18.54 / $24.97	Facility		$18.54	$18.54	$24.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $50.69 / $162.51	Professional		$25.44	$50.69	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $49.61 / $100.00	Facility		$41.62	$49.61	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.72 / $20.39	Professional		$11.03	$13.72	$20.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $65.77	Professional		$44.32	$44.32	$65.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $82.97 / $113.62	Professional		$65.77	$82.97	$113.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $17.44 / $46.73	Professional		$12.07	$17.44	$46.73