Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $27.25 / $68.16	Facility		$14.66	$27.25	$68.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.27 / $76.62	Professional		$9.41	$14.27	$76.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $31.77 / $33.61	Facility		$26.27	$31.77	$33.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $12.22 / $52.55	Professional		$9.05	$12.22	$52.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $18.14 / $34.49	Facility		$12.22	$18.14	$34.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.83 / $15.90	Professional		$12.22	$12.83	$15.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $32.90 / $37.39	Professional		$14.04	$32.90	$37.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $14.66 / $42.77	Facility		$9.41	$14.66	$42.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $14.66 / $70.54	Facility		$11.00	$14.66	$70.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $10.32 / $43.99	Professional		$7.33	$10.32	$43.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $50.00 / $85.00	Professional		$12.22	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $14.66 / $42.77	Facility		$9.41	$14.66	$42.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $32.08 / $41.80	Professional		$24.70	$32.08	$41.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $80.00 / $80.00	Facility		$31.21	$80.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $61.10 / $100.48	Professional		$16.28	$61.10	$100.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $26.02	Professional		$12.57	$12.57	$26.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $48.71 / $66.72	Professional		$12.57	$48.71	$66.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.77 / $33.49	Professional		$7.31	$9.77	$33.49