Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $33.52 / $273.60	Facility		$18.04	$33.52	$273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $26.04 / $27.24	Professional		$13.09	$26.04	$27.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $39.08 / $41.33	Facility		$32.31	$39.08	$41.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $62.19	Professional		$7.42	$7.42	$62.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $40.82 / $42.42	Facility		$12.07	$40.82	$42.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.47 / $45.99	Professional		$16.93	$40.47	$45.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $18.04	Facility		$13.39	$13.39	$18.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $15.03 / $142.80	Facility		$13.39	$15.03	$142.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $15.03 / $41.63	Professional		$8.82	$15.03	$41.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $29.48 / $85.00	Professional		$7.52	$29.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $18.04	Facility		$13.39	$13.39	$18.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $36.43 / $87.89	Professional		$18.37	$36.43	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $31.94 / $142.80	Facility		$30.06	$31.94	$142.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $9.96 / $14.64	Professional		$7.97	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $32.01 / $72.09	Professional		$32.01	$32.01	$72.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $72.09 / $82.06	Professional		$53.24	$72.09	$82.06
United Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $36.24	Facility		$13.36	$13.36	$36.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $12.60 / $41.63	Professional		$7.52	$12.60	$41.63