Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $92.88 / $256.50	Facility		$35.22	$92.88	$256.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.60 / $40.29	Professional		$25.20	$26.60	$40.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $14.49 / $121.44	Professional		$14.49	$14.49	$121.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $30.82 / $82.83	Facility		$23.00	$30.82	$82.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Professional		$29.35	$29.35	$29.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $79.04 / $89.81	Professional		$33.86	$79.04	$89.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $28.20 / $35.22	Facility		$27.59	$28.20	$35.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $29.35 / $215.25	Facility		$27.59	$29.35	$215.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $29.35 / $81.30	Professional		$17.61	$29.35	$81.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $55.00 / $85.00	Professional		$14.68	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $28.20 / $35.22	Facility		$27.59	$28.20	$35.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $110.88 / $155.78	Professional		$54.72	$110.88	$155.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $69.95 / $215.25	Facility		$58.70	$69.95	$215.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $22.78 / $42.45	Professional		$15.56	$22.78	$42.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $92.49	Professional		$62.50	$62.50	$92.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $123.42 / $160.25	Professional		$92.49	$123.42	$160.25
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $24.16 / $80.43	Professional		$17.02	$24.16	$80.43