Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $25.80 / $149.54	Facility		$13.88	$25.80	$149.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $10.41 / $13.88	Professional		$9.49	$10.41	$13.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $30.08 / $31.82	Facility		$24.88	$30.08	$31.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $47.86	Professional		$5.71	$5.71	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $31.41 / $32.64	Facility		$8.16	$31.41	$32.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Professional		$11.57	$11.57	$11.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.15 / $35.40	Professional		$13.22	$31.15	$35.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $13.88	Facility		$10.30	$10.30	$13.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $10.41 / $60.00	Facility		$9.26	$10.41	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.57 / $32.04	Professional		$6.94	$11.57	$32.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $22.67 / $85.00	Professional		$5.79	$22.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $13.88	Facility		$10.30	$10.30	$13.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $28.51 / $52.97	Professional		$14.14	$28.51	$52.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $24.58 / $60.00	Facility		$23.14	$24.58	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.68 / $11.24	Professional		$6.13	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $24.64 / $46.74	Professional		$24.64	$24.64	$46.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $54.86 / $63.17	Professional		$46.12	$54.86	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.77 / $33.94	Professional		$6.71	$9.77	$33.94