Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $52.69 / $270.00	Facility		$27.40	$52.69	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $33.92 / $204.25	Professional		$13.36	$33.92	$204.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.40 / $139.88 / $139.88	Professional	25	$25.40	$139.88	$139.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $27.40 / $82.76	Professional		$15.60	$27.40	$82.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.86 / $19.86	Facility		$13.29	$16.86	$19.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $14.92 / $31.78	Professional		$13.62	$14.92	$31.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $40.81 / $55.90	Professional		$23.42	$40.81	$55.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $27.40 / $58.29	Facility		$14.61	$27.40	$58.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $27.40 / $68.50	Facility		$13.35	$27.40	$68.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $34.42 / $358.00	Professional		$17.96	$34.42	$358.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $50.17 / $70.00	Professional		$11.82	$50.17	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $27.40 / $58.29	Facility		$14.61	$27.40	$58.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $40.67 / $127.61	Professional		$25.80	$40.67	$127.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $101.68 / $101.68	Facility		$18.79	$101.68	$101.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $81.50 / $358.00	Professional		$25.56	$81.50	$358.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $86.60 / $96.69	Professional		$68.19	$86.60	$96.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $29.48 / $60.53	Professional		$17.32	$29.48	$60.53