Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $310.06 / $986.26	Facility		$55.53	$310.06	$986.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.94 / $130.40	Professional		$20.89	$29.94	$130.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $174.57	Professional		$18.29	$18.29	$174.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $30.56 / $73.91	Facility		$23.19	$30.56	$73.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $29.10 / $29.10	Professional		$29.10	$29.10	$29.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $110.42 / $136.29	Professional		$36.76	$110.42	$136.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $48.29	Facility		$20.89	$20.89	$48.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.29 / $391.64	Facility		$20.89	$48.29	$391.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $30.41 / $116.03	Professional		$15.50	$30.41	$116.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,000.00	Professional		$55.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $48.29	Facility		$20.89	$20.89	$48.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $74.15 / $197.64	Professional		$41.06	$74.15	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $79.64 / $186.30	Facility		$79.64	$79.64	$186.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.23 / $21.69	Professional		$14.37	$15.23	$21.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $32.90	Professional		$25.65	$25.65	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $25.69 / $116.03	Professional		$16.73	$25.69	$116.03