Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $78.31 / $135.36	Facility		$21.10	$78.31	$135.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.76 / $20.99	Professional		$13.34	$13.76	$20.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $39.75 / $42.05	Facility		$32.86	$39.75	$42.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $63.26	Professional		$7.55	$7.55	$63.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $41.52 / $43.15	Facility		$12.27	$41.52	$43.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
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 $17.35 / $41.17 / $46.79	Professional		$17.35	$41.17	$46.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $13.62 / $18.35	Facility		$13.62	$13.62	$18.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $15.29 / $88.94	Facility		$13.62	$15.29	$88.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $15.29 / $44.90	Professional		$8.98	$15.29	$44.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $29.99 / $85.00	Professional		$7.65	$29.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $13.62 / $18.35	Facility		$13.62	$13.62	$18.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $37.22 / $77.16	Professional		$18.69	$37.22	$77.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $32.50 / $73.11	Facility		$30.58	$32.50	$73.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $10.13 / $14.90	Professional		$8.10	$10.13	$14.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $32.56 / $44.87	Professional		$32.56	$32.56	$44.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $44.87 / $83.48	Professional		$44.87	$44.87	$83.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.62 / $37.88	Professional		$7.65	$12.62	$37.88