Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $192.91 / $511.56	Facility		$30.97	$192.91	$511.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $23.21 / $30.97	Professional		$19.87	$23.21	$30.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $67.11 / $70.98	Facility		$55.49	$67.11	$70.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $106.79	Professional		$12.74	$12.74	$106.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $70.06 / $72.81	Facility		$20.72	$70.06	$72.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Professional		$25.81	$25.81	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $83.19 / $127.61	Facility		$71.19	$83.19	$127.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $69.50 / $78.98	Professional		$29.74	$69.50	$78.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $30.97	Facility		$22.98	$22.98	$30.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $25.81 / $189.39	Facility		$22.98	$25.81	$189.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.81 / $92.92	Professional		$15.49	$25.81	$92.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $50.60 / $85.00	Professional		$12.91	$50.60	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $30.97	Facility		$22.98	$22.98	$30.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $63.36 / $197.64	Professional		$31.54	$63.36	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $51.62 / $189.39	Facility		$51.62	$51.62	$189.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $16.98 / $25.35	Professional		$13.68	$16.98	$25.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $52.63 / $54.96	Professional		$52.63	$52.63	$54.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $102.88 / $140.91	Professional		$52.63	$102.88	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $21.64 / $70.73	Professional		$14.97	$21.64	$70.73