Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $148.34 / $379.20	Facility		$63.65	$148.34	$379.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $9.65 / $12.89	Professional		$8.38	$9.65	$12.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $27.92 / $29.54	Facility		$23.09	$27.92	$29.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $46.01	Professional		$5.30	$5.30	$46.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $29.15 / $30.30	Facility		$8.61	$29.15	$30.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.92 / $32.86	Professional		$12.39	$28.92	$32.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $44.90 / $122.40	Facility		$9.56	$44.90	$122.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.74 / $29.75	Professional		$6.44	$10.74	$29.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $21.05 / $85.00	Professional		$5.37	$21.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $26.14 / $48.56	Professional		$13.12	$26.14	$48.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $22.83 / $60.00	Facility		$21.48	$22.83	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.02 / $10.45	Professional		$5.69	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $27.40	Professional		$22.87	$22.87	$27.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $58.64	Professional		$27.40	$27.40	$58.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.07 / $31.52	Professional		$6.44	$9.07	$31.52