Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $103.23 / $640.50	Facility		$20.73	$103.23	$640.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.84 / $18.97	Professional		$10.37	$10.84	$18.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $35.93 / $38.01	Facility		$29.71	$35.93	$38.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $56.37	Professional		$5.92	$5.92	$56.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $33.77 / $35.10	Facility		$10.30	$33.77	$35.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.21 / $42.29	Professional		$16.11	$37.21	$42.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.06 / $16.57	Facility		$10.68	$11.06	$16.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.82 / $70.09	Facility		$10.68	$13.82	$70.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.82 / $35.20	Professional		$8.02	$13.82	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $23.51 / $85.00	Professional		$6.91	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.06 / $16.57	Facility		$10.68	$11.06	$16.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $34.06 / $51.16	Professional		$16.34	$34.06	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $65.65	Facility		$27.64	$27.64	$65.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $7.84 / $11.76	Professional		$7.32	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $21.63 / $29.43	Professional		$21.63	$21.63	$29.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $40.15 / $75.45	Professional		$21.63	$40.15	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $13.82 / $29.70	Professional		$7.46	$13.82	$29.70