Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $135.69 / $251.52	Facility		$51.80	$135.69	$251.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $12.45 / $18.64	Professional		$11.47	$12.45	$18.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $37.10 / $39.24	Facility		$30.68	$37.10	$39.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $61.12	Professional		$10.57	$10.57	$61.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $38.72 / $40.26	Facility		$11.20	$38.72	$40.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $14.27	Professional		$14.27	$14.27	$14.27
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 / $38.42 / $43.66	Professional		$16.52	$38.42	$43.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $12.71 / $17.12	Facility		$12.71	$12.71	$17.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $84.86 / $170.60	Facility		$12.71	$84.86	$170.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $14.27 / $46.70	Professional		$8.27	$14.27	$46.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $27.98 / $85.00	Professional		$7.14	$27.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $12.71 / $17.12	Facility		$12.71	$12.71	$17.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $34.85 / $71.73	Professional		$17.44	$34.85	$71.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $30.32 / $74.00	Facility		$28.54	$30.32	$74.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $9.47 / $13.85	Professional		$7.56	$9.47	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.39 / $43.26	Professional		$30.39	$30.39	$43.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $56.87 / $77.91	Professional		$43.26	$56.87	$77.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $11.77 / $39.53	Professional		$7.14	$11.77	$39.53