Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $125.42 / $343.85	Facility		$21.37	$125.42	$343.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $27.00 / $28.10	Professional		$13.30	$27.00	$28.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $40.27 / $42.60	Facility		$33.29	$40.27	$42.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $64.09	Professional		$7.65	$7.65	$64.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $42.06 / $43.71	Facility		$12.43	$42.06	$43.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.71 / $47.40	Professional		$17.76	$41.71	$47.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.59	Facility		$13.80	$13.80	$18.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.45 / $175.00	Facility		$13.80	$38.45	$175.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $15.49 / $50.73	Professional		$9.28	$15.49	$50.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $30.36 / $85.00	Professional		$7.75	$30.36	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.59	Facility		$13.80	$13.80	$18.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $38.02 / $109.82	Professional		$18.93	$38.02	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $32.90 / $175.00	Facility		$30.98	$32.90	$175.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $10.29 / $15.16	Professional		$8.21	$10.29	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $32.99 / $92.70	Professional		$32.99	$32.99	$92.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $92.70 / $92.70	Professional		$61.76	$92.70	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $13.48 / $50.73	Professional		$9.09	$13.48	$50.73