Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $197.56 / $454.30	Facility		$44.87	$197.56	$454.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $32.78 / $39.02	Professional		$20.98	$32.78	$39.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $141.32	Professional		$14.83	$14.83	$141.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $57.50 / $59.77	Facility		$24.71	$57.50	$59.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $23.53 / $23.53	Professional		$23.53	$23.53	$23.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $69.55 / $110.13	Professional		$29.74	$69.55	$110.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $18.54 / $39.02	Facility		$18.54	$18.54	$39.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $33.11 / $237.40	Facility		$18.54	$33.11	$237.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $24.58 / $94.12	Professional		$12.29	$24.58	$94.12
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 $18.54 / $18.54 / $39.02	Facility		$18.54	$18.54	$39.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $58.62 / $83.60	Professional		$30.75	$58.62	$83.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $150.53	Facility		$64.34	$64.34	$150.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $13.59 / $13.60	Professional		$11.60	$13.59	$13.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $24.58 / $94.12	Professional		$13.59	$24.58	$94.12