Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $37.58 / $329.56	Facility		$20.22	$37.58	$329.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.28 / $20.22	Professional		$13.61	$15.28	$20.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $43.81 / $46.34	Facility		$36.22	$43.81	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.40	Professional		$8.32	$8.32	$67.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $45.75 / $47.55	Facility		$12.89	$45.75	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.38 / $51.56	Professional		$19.41	$45.38	$51.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $16.98 / $20.22	Facility		$15.84	$16.98	$20.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.98 / $80.19	Facility		$13.82	$16.98	$80.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $13.48 / $55.16	Professional		$4.87	$13.48	$55.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $25.28 / $85.00	Professional		$8.34	$25.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $16.98 / $20.22	Facility		$15.84	$16.98	$20.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $41.18 / $57.20	Professional		$20.59	$41.18	$57.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $35.78 / $80.19	Facility		$33.70	$35.78	$80.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $11.11	Professional		$8.93	$8.93	$11.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $103.00	Professional		$35.88	$35.88	$103.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $92.00 / $103.00	Professional		$29.34	$92.00	$103.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $14.98 / $40.61	Facility		$14.98	$14.98	$40.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.11 / $37.44	Professional		$6.38	$10.11	$37.44