Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $169.96	Facility		$11.94	$11.94	$169.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $11.94 / $47.02	Professional		$11.32	$11.94	$47.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $24.44	Facility		$16.29	$16.29	$24.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $17.91	Professional		$15.15	$15.15	$17.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $14.66 / $14.66	Facility		$9.16	$14.66	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $23.44 / $30.84	Professional		$2.47	$23.44	$30.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $16.29 / $17.10	Facility		$11.32	$16.29	$17.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $16.29 / $90.00	Facility		$11.32	$16.29	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $18.43 / $49.49	Professional		$8.13	$18.43	$49.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Professional		$65.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $13.43 / $17.10	Facility		$6.24	$13.43	$17.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $24.44 / $38.81	Professional		$16.29	$24.44	$38.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $85.00 / $90.00	Facility		$33.07	$85.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29
Security Health Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Facility		$12.53	$12.53	$12.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $16.29 / $49.49	Professional		$6.36	$16.29	$49.49