Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $85.86 / $149.76	Facility		$17.77	$85.86	$149.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.68 / $15.46	Professional		$9.66	$11.68	$15.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $33.49 / $35.42	Facility		$27.69	$33.49	$35.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $53.29	Professional		$6.36	$6.36	$53.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $34.97 / $36.35	Facility		$10.34	$34.97	$36.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.68 / $39.40	Professional		$14.87	$34.68	$39.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.46	Facility		$11.48	$11.48	$15.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.46 / $111.00	Facility		$11.48	$15.46	$111.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.88 / $35.68	Professional		$7.56	$12.88	$35.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $25.26 / $85.00	Professional		$6.44	$25.26	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.46	Facility		$11.48	$11.48	$15.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $31.68 / $57.99	Professional		$15.74	$31.68	$57.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $27.37 / $72.00	Facility		$25.76	$27.37	$72.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.49 / $12.55	Professional		$6.83	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $27.43 / $243.08	Professional		$27.43	$27.43	$243.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $243.08 / $243.08	Professional		$51.35	$243.08	$243.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.63 / $35.29	Professional		$6.44	$10.63	$35.29