Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $88.67 / $119.04	Facility		$14.38	$88.67	$119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.46 / $16.45	Professional		$10.05	$10.46	$16.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $31.15 / $32.95	Facility		$25.76	$31.15	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $49.56	Professional		$5.92	$5.92	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $32.54 / $33.83	Facility		$9.14	$32.54	$33.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Professional		$11.98	$11.98	$11.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.26 / $36.65	Professional		$13.63	$32.26	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $11.98 / $80.00	Facility		$9.82	$11.98	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $11.98 / $33.18	Professional		$7.04	$11.98	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.51 / $85.00	Professional		$5.99	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $29.30 / $40.70	Professional		$14.65	$29.30	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $25.75 / $80.00	Facility		$23.96	$25.75	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.84 / $11.76	Professional		$6.35	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $25.51	Professional		$13.39	$13.39	$25.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $56.83 / $65.41	Professional		$13.39	$56.83	$65.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $9.89 / $29.70	Professional		$6.95	$9.89	$29.70