Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $139.50 / $396.48	Facility		$26.04	$139.50	$396.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.52 / $11.36	Professional		$8.26	$8.52	$11.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $24.62 / $26.04	Facility		$20.36	$24.62	$26.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $39.18	Professional		$4.68	$4.68	$39.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $25.71 / $26.72	Facility		$7.02	$25.71	$26.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Professional		$9.47	$9.47	$9.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.50 / $28.98	Professional		$10.74	$25.50	$28.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $11.36	Facility		$8.43	$8.43	$11.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $84.15 / $116.55	Facility		$8.43	$84.15	$116.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $9.47 / $26.23	Professional		$5.68	$9.47	$26.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $18.54 / $85.00	Professional		$4.74	$18.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $11.36	Facility		$8.43	$8.43	$11.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $22.97 / $87.89	Professional		$11.57	$22.97	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $20.48 / $100.00	Facility		$18.94	$20.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.21 / $9.15	Professional		$5.01	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $20.17 / $41.20	Professional		$20.17	$20.17	$41.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $41.20 / $51.71	Professional		$37.75	$41.20	$51.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $7.81 / $25.95	Professional		$5.49	$7.81	$25.95