Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $108.81 / $253.43	Facility		$18.59	$108.81	$253.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.15 / $14.87	Professional		$10.16	$11.15	$14.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $32.21 / $34.07	Facility		$26.64	$32.21	$34.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $51.26	Professional		$6.12	$6.12	$51.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $33.63 / $34.95	Facility		$9.94	$33.63	$34.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Professional		$12.39	$12.39	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.36 / $37.90	Professional		$14.04	$33.36	$37.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $14.87	Facility		$11.04	$11.04	$14.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $15.86 / $136.44	Facility		$11.04	$15.86	$136.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $12.39 / $34.32	Professional		$7.43	$12.39	$34.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $24.29 / $85.00	Professional		$6.20	$24.29	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $14.87	Facility		$11.04	$11.04	$14.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.10 / $60.69	Professional		$15.14	$30.10	$60.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $26.31 / $60.00	Facility		$24.78	$26.31	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $8.17 / $12.02	Professional		$6.57	$8.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $26.39	Professional		$23.48	$23.48	$26.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $59.65 / $67.65	Professional		$23.48	$59.65	$67.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.39 / $36.35	Professional		$7.19	$10.39	$36.35