Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $128.65 / $264.32	Facility		$25.03	$128.65	$264.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $26.82 / $32.92	Professional		$15.70	$26.82	$32.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $47.16 / $49.89	Facility		$39.00	$47.16	$49.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $75.06	Professional		$8.96	$8.96	$75.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $49.27 / $51.21	Facility		$14.56	$49.27	$51.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.85 / $55.51	Professional		$20.65	$48.85	$55.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $21.77	Facility		$16.16	$16.16	$21.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $18.37 / $54,379.00	Facility		$16.16	$18.37	$54,379.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.14 / $53.24	Professional		$10.65	$18.14	$53.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $35.56 / $85.00	Professional		$9.07	$35.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $21.77	Facility		$16.16	$16.16	$21.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $44.35 / $61.60	Professional		$22.18	$44.35	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $38.54 / $54,379.00	Facility		$36.28	$38.54	$54,379.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.92 / $17.77	Professional		$9.61	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $38.63 / $59.74	Professional		$38.63	$38.63	$59.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $59.74 / $99.04	Professional		$59.74	$59.74	$99.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $14.93 / $44.92	Professional		$9.07	$14.93	$44.92