Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $122.24 / $159.88	Facility		$32.09	$122.24	$159.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $12.84 / $17.27	Professional		$11.95	$12.84	$17.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $37.40 / $39.57	Facility		$30.94	$37.40	$39.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $59.53	Professional		$7.11	$7.11	$59.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $39.07 / $40.61	Facility		$11.55	$39.07	$40.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.75 / $44.04	Professional		$16.52	$38.75	$44.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $17.27	Facility		$12.82	$12.82	$17.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $47.04 / $119.00	Facility		$12.82	$47.04	$119.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.15 / $35.63	Professional		$8.35	$12.15	$35.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $28.22 / $85.00	Professional		$7.20	$28.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $17.27	Facility		$12.82	$12.82	$17.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $34.85 / $60.62	Professional		$17.59	$34.85	$60.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $28.78 / $68.40	Facility		$28.78	$28.78	$68.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.47 / $14.11	Professional		$7.63	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $30.64	Professional		$17.25	$17.25	$30.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $31.36 / $78.56	Professional		$17.25	$31.36	$78.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.15 / $42.23	Professional		$7.20	$12.15	$42.23