Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $226.80 / $420.48	Facility		$65.31	$226.80	$420.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $11.94 / $68.00	Professional		$9.00	$11.94	$68.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $26.83 / $28.38	Facility		$22.19	$26.83	$28.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $42.70	Professional		$5.09	$5.09	$42.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $28.03 / $29.13	Facility		$7.87	$28.03	$29.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.79 / $31.58	Professional		$11.98	$27.79	$31.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.38	Facility		$9.19	$9.19	$12.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $99.54 / $238.99	Facility		$9.19	$99.54	$238.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $10.32 / $28.59	Professional		$6.19	$10.32	$28.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $20.23 / $85.00	Professional		$5.16	$20.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.38	Facility		$9.19	$9.19	$12.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $25.34 / $81.28	Professional		$12.62	$25.34	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $20.64 / $112.35	Facility		$20.64	$20.64	$112.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.86 / $10.19	Professional		$5.47	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $46.35	Professional		$21.98	$21.98	$46.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $46.35 / $56.35	Professional		$41.14	$46.35	$56.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.72 / $28.28	Professional		$5.99	$8.72	$28.28