Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $30.08 / $1,823.11	Facility		$24.06	$30.08	$1,823.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $23.42 / $27.53	Professional		$16.44	$23.42	$27.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $52.13 / $55.14	Facility		$43.11	$52.13	$55.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.83 / $86.22	Professional		$9.90	$13.83	$86.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $54.45 / $56.59	Facility		$15.29	$54.45	$56.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $50.59 / $61.35	Professional		$21.65	$50.59	$61.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $19.30 / $63.00	Facility		$17.86	$19.30	$63.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $20.05 / $95.52	Facility		$17.86	$20.05	$95.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $17.04 / $72.18	Professional		$11.77	$17.04	$72.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $55.00 / $85.00	Professional		$10.02	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $19.30 / $63.00	Facility		$17.86	$19.30	$63.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $49.10 / $68.20	Professional		$36.03	$49.10	$68.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $40.10 / $95.52	Facility		$40.10	$40.10	$95.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $106.69 / $164.83	Professional		$13.23	$106.69	$164.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $42.70 / $75.19	Professional		$42.70	$42.70	$75.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $109.47	Professional		$75.19	$75.19	$109.47
United Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $16.04 / $54.95	Professional		$10.68	$16.04	$54.95