Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $37.49 / $85.91	Facility		$20.17	$37.49	$85.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.80 / $67.00	Professional		$10.84	$15.80	$67.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $43.71 / $46.23	Facility		$36.14	$43.71	$46.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $68.58	Professional		$6.72	$6.72	$68.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $41.08 / $42.70	Facility		$12.43	$41.08	$42.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.27 / $51.44	Professional		$19.41	$45.27	$51.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $20.17	Facility		$10.68	$11.54	$20.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.78 / $79.84	Facility		$10.68	$13.78	$79.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.44 / $35.20	Professional		$9.75	$16.44	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $25.22 / $85.00	Professional		$8.41	$25.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $20.17	Facility		$10.68	$11.54	$20.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $40.11 / $56.25	Professional		$19.76	$40.11	$56.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $50.00 / $79.84	Facility		$33.61	$50.00	$79.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $18.82 / $35.79	Professional		$18.82	$18.82	$35.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $47.78 / $91.78	Professional		$18.82	$47.78	$91.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.13 / $35.20	Professional		$8.76	$10.13	$35.20