Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $84.55 / $239.06	Facility		$21.12	$84.55	$239.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.68 / $23.36	Professional		$11.23	$11.68	$23.36
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 / $51.52	Professional		$6.36	$6.36	$51.52
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 / $113.85	Facility		$11.48	$15.46	$113.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.30 / $28.62	Professional		$4.87	$10.30	$28.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $20.50 / $85.00	Professional		$6.44	$20.50	$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 / $44.00	Professional		$15.74	$31.68	$44.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $27.37 / $521.94	Facility		$25.76	$27.37	$521.94
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 / $188.28	Professional		$27.43	$27.43	$188.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $188.28 / $188.28	Professional		$29.34	$188.28	$188.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.73 / $23.97	Professional		$5.00	$7.73	$23.97