Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $131.75 / $201.60	Facility		$21.57	$131.75	$201.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.94 / $17.26	Professional		$12.53	$12.94	$17.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $37.39 / $39.54	Facility		$30.92	$37.39	$39.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $59.49	Professional		$7.10	$7.10	$59.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $39.04 / $40.59	Facility		$10.72	$39.04	$40.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Professional		$14.38	$14.38	$14.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.72 / $44.00	Professional		$16.52	$38.72	$44.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $17.26	Facility		$12.81	$12.81	$17.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $17.26 / $149.12	Facility		$12.81	$17.26	$149.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.38 / $42.21	Professional		$8.44	$14.38	$42.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $39.69 / $85.00	Professional		$7.19	$39.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $17.26	Facility		$12.81	$12.81	$17.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $34.85 / $49.72	Professional		$17.57	$34.85	$49.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $32.29 / $95.00	Facility		$28.76	$32.29	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $9.47 / $14.11	Professional		$7.62	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $30.62 / $75.09	Professional		$30.62	$30.62	$75.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $75.09 / $78.51	Professional		$57.34	$75.09	$78.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $12.51 / $39.40	Professional		$8.34	$12.51	$39.40