Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $30.22 / $100.02	Facility		$16.26	$30.22	$100.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $16.26 / $23.46	Professional		$11.11	$16.26	$23.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $35.22 / $37.26	Facility		$29.13	$35.22	$37.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $56.07	Professional		$6.69	$6.69	$56.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $36.81 / $38.25	Facility		$10.88	$36.81	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.49 / $41.46	Professional		$15.69	$36.49	$41.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $16.26	Facility		$12.08	$12.08	$16.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $12.20 / $64.86	Facility		$11.11	$12.20	$64.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.55 / $37.53	Professional		$7.95	$13.55	$37.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $37.40 / $85.00	Professional		$6.78	$37.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $16.26	Facility		$12.08	$12.08	$16.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $33.26 / $69.23	Professional		$16.57	$33.26	$69.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $28.81 / $64.86	Facility		$27.10	$28.81	$64.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.98 / $13.33	Professional		$7.18	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $28.86	Professional		$13.94	$13.94	$28.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $73.98	Professional		$13.94	$13.94	$73.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $11.18 / $37.13	Professional		$6.78	$11.18	$37.13