Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $125.76 / $236.39	Facility		$59.13	$125.76	$236.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.00 / $12.06	Professional		$7.75	$9.00	$12.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $26.86 / $28.41	Facility		$22.21	$26.86	$28.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $42.75	Professional		$5.09	$5.09	$42.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $28.05 / $29.16	Facility		$7.55	$28.05	$29.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.82 / $31.61	Professional		$11.98	$27.82	$31.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.40	Facility		$9.19	$9.19	$12.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $51.06 / $121.74	Facility		$9.19	$51.06	$121.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $10.33 / $30.30	Professional		$6.06	$10.33	$30.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $20.25 / $85.00	Professional		$5.17	$20.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.40	Facility		$9.19	$9.19	$12.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $25.34 / $43.72	Professional		$12.63	$25.34	$43.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $60.00	Facility		$20.66	$20.66	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.86 / $10.19	Professional		$5.47	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $22.00	Professional		$16.27	$16.27	$22.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $45.98 / $56.40	Professional		$16.27	$45.98	$56.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.52 / $28.31	Professional		$5.17	$8.52	$28.31