Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $119.24 / $132.88	Facility		$18.91	$119.24	$132.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $15.86 / $18.82	Professional		$11.24	$15.86	$18.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $35.65 / $37.70	Facility		$29.48	$35.65	$37.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $56.72	Professional		$6.77	$6.77	$56.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $37.22 / $38.68	Facility		$11.00	$37.22	$38.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.92 / $41.95	Professional		$15.69	$36.92	$41.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $17.10	Facility		$12.22	$12.22	$17.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $16.45 / $109.00	Facility		$12.22	$16.45	$109.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.71 / $40.26	Professional		$8.05	$13.71	$40.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $26.89 / $85.00	Professional		$6.86	$26.89	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $17.10	Facility		$12.22	$12.22	$17.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $33.26 / $79.06	Professional		$16.75	$33.26	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $29.14 / $109.00	Facility		$27.42	$29.14	$109.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.98 / $13.33	Professional		$7.27	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $29.20	Professional		$18.89	$18.89	$29.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $39.84 / $74.86	Professional		$18.89	$39.84	$74.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $11.20 / $37.57	Professional		$6.86	$11.20	$37.57