Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $38.50 / $251.52	Facility		$14.77	$38.50	$251.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.77 / $79.00	Professional		$10.50	$14.77	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $32.01 / $33.85	Facility		$26.47	$32.01	$33.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $50.22	Professional		$5.95	$5.95	$50.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $32.72 / $34.01	Facility		$9.00	$32.72	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $36.74 / $41.75	Professional		$14.04	$36.74	$41.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.77	Facility		$10.73	$10.73	$14.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $11.60 / $132.82	Facility		$10.09	$11.60	$132.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $14.77 / $33.24	Professional		$7.39	$14.77	$33.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $33.97 / $85.00	Professional		$6.16	$33.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.77	Facility		$10.73	$10.73	$14.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $30.10 / $114.22	Professional		$14.73	$30.10	$114.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $25.87 / $132.82	Facility		$24.62	$25.87	$132.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.00 / $11.76	Professional		$6.52	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $86.52	Professional		$16.88	$16.88	$86.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $85.90 / $86.52	Professional		$17.64	$85.90	$86.52
United Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Facility		$14.77	$14.77	$14.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $13.54 / $44.32	Professional		$7.39	$13.54	$44.32