Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $96.00 / $192.32	Facility		$45.23	$96.00	$192.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $88.00	Professional		$45.22	$45.23	$88.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.55 / $144.12	Professional		$14.13	$21.55	$144.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $37.10 / $89.74	Facility		$21.54	$37.10	$89.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $35.33	Professional		$35.33	$35.33	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $90.03 / $138.11	Facility		$77.05	$90.03	$138.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $95.14 / $108.11	Professional		$40.60	$95.14	$108.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $45.23	Facility		$35.33	$35.33	$45.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $167.82	Facility		$35.33	$35.33	$167.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $35.33 / $91.52	Professional		$20.76	$35.33	$91.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $55.00 / $97.51	Professional		$17.48	$55.00	$97.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $45.23	Facility		$35.33	$35.33	$45.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $85.98 / $119.90	Professional		$46.85	$85.98	$119.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $70.66 / $167.82	Facility		$70.66	$70.66	$167.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.85 / $30.85	Professional		$17.64	$30.85	$30.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $75.25	Professional		$75.25	$75.25	$75.25
Security Health Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $192.90	Professional		$35.33	$35.33	$192.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $34.25 / $132.79	Professional		$20.49	$34.25	$132.79