Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $265.20 / $672.54	Facility		$32.52	$265.20	$672.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $28.28	Professional		$17.23	$17.93	$28.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $61.28 / $64.81	Facility		$50.68	$61.28	$64.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $96.15	Professional		$9.77	$9.77	$96.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $57.61 / $59.87	Facility		$18.50	$57.61	$59.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $63.47 / $72.13	Professional		$27.26	$63.47	$72.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $18.86 / $28.28	Facility		$17.62	$18.86	$28.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $28.28 / $203.67	Facility		$17.62	$28.28	$203.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $19.39 / $43.97	Professional		$11.63	$19.39	$43.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $35.36 / $85.00	Professional		$11.79	$35.36	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $18.86 / $28.28	Facility		$17.62	$18.86	$28.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $57.82 / $112.33	Professional		$27.74	$57.82	$112.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $47.17 / $550.79	Facility		$47.14	$47.17	$550.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.06 / $19.34	Professional		$12.49	$13.06	$19.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $50.19 / $74.23	Professional		$50.19	$50.19	$74.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $74.23 / $128.69	Professional		$68.48	$74.23	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.51 / $43.97	Professional		$11.63	$15.51	$43.97