Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $734.83 / $1,746.99	Facility		$29.55	$734.83	$1,746.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $25.70 / $292.63	Professional		$16.48	$25.70	$292.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $55.69 / $58.91	Facility		$46.05	$55.69	$58.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.71 / $91.73	Professional		$12.13	$20.71	$91.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $31.82 / $66.40	Facility		$21.42	$31.82	$66.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $22.49 / $27.60	Professional		$21.42	$22.49	$27.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $62.72 / $71.28	Professional		$24.37	$62.72	$71.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $25.70 / $74.97	Facility		$16.48	$25.70	$74.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $46.80 / $144.00	Facility		$21.42	$46.80	$144.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.42 / $386.73	Professional		$17.14	$29.42	$386.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $55.00 / $85.00	Professional		$19.70	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $25.70 / $74.97	Facility		$16.48	$25.70	$74.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $55.71 / $82.66	Professional		$42.90	$55.71	$82.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $301.72 / $301.72	Facility		$51.07	$301.72	$301.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $107.10 / $386.73	Professional		$27.57	$107.10	$386.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $45.61	Professional		$26.04	$26.04	$45.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $57.72 / $116.95	Professional		$26.04	$57.72	$116.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $21.42 / $60.51	Professional		$15.98	$21.42	$60.51