Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $73.44 / $100.80	Facility		$29.53	$73.44	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.93 / $23.86	Professional		$11.24	$11.93	$23.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $34.42 / $36.40	Facility		$28.47	$34.42	$36.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $54.01	Professional		$9.80	$9.80	$54.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $35.95 / $37.36	Facility		$10.39	$35.95	$37.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
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 $15.28 / $35.65 / $40.51	Professional		$15.28	$35.65	$40.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.89	Facility		$11.80	$11.80	$15.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $63.19 / $94.05	Facility		$11.80	$63.19	$94.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $11.62 / $36.67	Professional		$6.53	$11.62	$36.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $19.86 / $85.00	Professional		$6.62	$19.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $15.89	Facility		$11.80	$11.80	$15.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $32.47 / $49.28	Professional		$16.18	$32.47	$49.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $28.13 / $80.00	Facility		$26.48	$28.13	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $7.02 / $8.66	Professional		$7.02	$7.02	$8.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $28.20	Professional		$22.81	$22.81	$28.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $37.54 / $72.29	Professional		$22.81	$37.54	$72.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $10.59 / $29.41	Professional		$6.52	$10.59	$29.41