Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $74.04 / $202.56	Facility		$23.19	$74.04	$202.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $9.66	Professional		$5.97	$7.04	$9.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $21.01 / $22.22	Facility		$17.37	$21.01	$22.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $34.61	Professional		$5.98	$5.98	$34.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $21.92 / $22.78	Facility		$6.16	$21.92	$22.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Professional		$8.08	$8.08	$8.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.76 / $24.73	Professional		$9.50	$21.76	$24.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.69	Facility		$7.19	$7.19	$9.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $62.06 / $109.28	Facility		$7.19	$62.06	$109.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.08 / $23.71	Professional		$4.84	$8.08	$23.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $22.30 / $85.00	Professional		$4.04	$22.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.69	Facility		$7.19	$7.19	$9.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $19.80 / $40.59	Professional		$9.86	$19.80	$40.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $17.46 / $60.00	Facility		$16.16	$17.46	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.39 / $7.84	Professional		$4.28	$5.39	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $18.03	Professional		$17.21	$17.21	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.03 / $44.12	Professional		$18.03	$18.03	$44.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.82 / $22.14	Professional		$4.69	$6.82	$22.14