Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $138.02 / $187.20	Facility		$26.25	$138.02	$187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.25 / $16.16	Professional		$9.86	$10.25	$16.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $30.60 / $32.36	Facility		$25.31	$30.60	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $48.70	Professional		$5.82	$5.82	$48.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $31.97 / $33.22	Facility		$9.44	$31.97	$33.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $11.77	Professional		$11.77	$11.77	$11.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.69 / $36.01	Professional		$13.22	$31.69	$36.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $14.12	Facility		$10.48	$10.48	$14.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $11.06 / $60.00	Facility		$9.42	$11.06	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $11.77 / $32.60	Professional		$7.06	$11.77	$32.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $23.07 / $85.00	Professional		$5.89	$23.07	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $14.12	Facility		$10.48	$10.48	$14.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $28.51 / $67.31	Professional		$14.39	$28.51	$67.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $25.00 / $60.00	Facility		$23.54	$25.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.84 / $11.50	Professional		$6.24	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $48.72	Professional		$25.06	$25.06	$48.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $59.39 / $64.26	Professional		$46.94	$59.39	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.94 / $32.60	Professional		$7.06	$9.94	$32.60