Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $43.78 / $108.48	Facility		$21.10	$43.78	$108.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $14.37 / $50.00	Professional		$7.65	$14.37	$50.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $39.75 / $42.05	Facility		$32.86	$39.75	$42.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $62.37	Professional		$9.17	$9.17	$62.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $37.36 / $38.84	Facility		$11.40	$37.36	$38.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.17 / $46.79	Professional		$17.35	$41.17	$46.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $18.35	Facility		$12.06	$12.06	$18.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $12.23 / $80.00	Facility		$11.77	$12.23	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $15.29 / $35.20	Professional		$8.86	$15.29	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $23.51 / $85.00	Professional		$7.65	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $18.35	Facility		$12.06	$12.06	$18.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $36.25 / $50.84	Professional		$17.86	$36.25	$50.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $30.58 / $80.00	Facility		$30.58	$30.58	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $8.02	Professional		$7.84	$8.02	$8.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $32.56	Professional		$12.33	$12.33	$32.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $47.78 / $83.48	Professional		$12.33	$47.78	$83.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.23 / $35.20	Professional		$8.26	$12.23	$35.20