Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $70.84 / $148.80	Facility		$24.30	$70.84	$148.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.89 / $18.80	Professional		$10.10	$11.89	$18.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $34.11 / $36.08	Facility		$28.21	$34.11	$36.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $54.29	Professional		$6.48	$6.48	$54.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $35.63 / $37.03	Facility		$10.53	$35.63	$37.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.33 / $40.15	Professional		$15.28	$35.33	$40.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $15.74	Facility		$11.69	$11.69	$15.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $13.12 / $128.35	Facility		$11.69	$13.12	$128.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $13.12 / $36.34	Professional		$7.70	$13.12	$36.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $36.21 / $85.00	Professional		$6.56	$36.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $15.74	Facility		$11.69	$11.69	$15.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $32.47 / $64.67	Professional		$16.04	$32.47	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $27.87 / $128.35	Facility		$26.24	$27.87	$128.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $8.66 / $12.81	Professional		$6.95	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $37.39	Professional		$27.94	$27.94	$37.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $52.31 / $71.64	Professional		$37.39	$52.31	$71.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $11.00 / $36.34	Professional		$6.56	$11.00	$36.34