Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $25.71 / $229.94	Facility		$13.84	$25.71	$229.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.30 / $13.84	Professional		$8.52	$10.30	$13.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $29.98 / $31.71	Facility		$24.79	$29.98	$31.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $47.71	Professional		$5.69	$5.69	$47.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $31.30 / $32.54	Facility		$8.78	$31.30	$32.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Professional		$11.53	$11.53	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.05 / $35.29	Professional		$13.22	$31.05	$35.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $10.38 / $60.00	Facility		$9.22	$10.38	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.53 / $31.94	Professional		$6.76	$11.53	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $22.59 / $85.00	Professional		$5.77	$22.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $28.51 / $49.02	Professional		$14.09	$28.51	$49.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $24.74 / $60.00	Facility		$23.06	$24.74	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.68 / $11.24	Professional		$6.11	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $35.52	Professional		$24.55	$24.55	$35.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $45.98 / $62.95	Professional		$35.52	$45.98	$62.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $9.66 / $31.60	Professional		$5.77	$9.66	$31.60