Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $111.10 / $197.76	Facility		$49.82	$111.10	$197.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.56 / $14.93	Professional		$3.34	$9.56	$14.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $25.40 / $26.87	Facility		$21.01	$25.40	$26.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $39.08	Professional		$3.91	$3.91	$39.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $23.87 / $24.82	Facility		$5.68	$23.87	$24.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.31 / $29.90	Professional		$11.15	$26.31	$29.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $9.77 / $11.72	Facility		$8.78	$9.77	$11.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $85.58 / $154.59	Facility		$9.77	$85.58	$154.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.77 / $27.06	Professional		$5.25	$9.77	$27.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $14.66 / $85.00	Professional		$4.84	$14.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $9.77 / $11.72	Facility		$8.78	$9.77	$11.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $67.41	Professional		$11.40	$23.76	$67.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $90.00	Facility		$19.54	$19.54	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $8.17 / $12.28	Professional		$5.18	$8.17	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $20.81	Professional		$11.02	$11.02	$20.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.63 / $53.34	Professional		$11.02	$22.63	$53.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $9.30 / $32.95	Professional		$4.88	$9.30	$32.95