Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $85.50 / $222.98	Facility		$18.00	$85.50	$222.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $11.74 / $15.66	Professional		$10.70	$11.74	$15.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $33.93 / $35.89	Facility		$28.06	$33.93	$35.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $54.00	Professional		$6.44	$6.44	$54.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $35.43 / $36.83	Facility		$10.48	$35.43	$36.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Professional		$13.05	$13.05	$13.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $35.15 / $39.94	Professional		$14.87	$35.15	$39.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $15.66	Facility		$11.62	$11.62	$15.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $15.66 / $106.00	Facility		$11.62	$15.66	$106.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $13.05 / $36.15	Professional		$7.66	$13.05	$36.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $25.59 / $85.00	Professional		$6.53	$25.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $15.66	Facility		$11.62	$11.62	$15.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $31.68 / $65.02	Professional		$15.95	$31.68	$65.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $27.73 / $64.17	Facility		$26.10	$27.73	$64.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.66 / $12.81	Professional		$6.92	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $67.13	Professional		$27.79	$27.79	$67.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $67.13 / $71.25	Professional		$52.02	$67.13	$71.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.76 / $38.28	Professional		$6.53	$10.76	$38.28