Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $43.64 / $44.66	Facility		$43.64	$43.64	$44.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $18.39	Professional		$15.26	$15.26	$18.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $50.88 / $53.82	Facility		$42.08	$50.88	$53.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $8.61 / $79.83	Professional		$7.83	$8.61	$79.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $47.83 / $49.71	Facility		$16.82	$47.83	$49.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $25.78 / $59.89	Professional		$10.37	$25.78	$59.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $17.61 / $25.05	Facility		$12.22	$17.61	$25.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $19.57 / $92.96	Facility		$12.22	$19.57	$92.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $18.80 / $40.53	Professional		$11.20	$18.80	$40.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $55.00 / $85.00	Professional		$9.78	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $17.61 / $25.05	Facility		$12.22	$17.61	$25.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $48.12 / $67.09	Professional		$21.94	$48.12	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $92.96	Facility		$39.14	$39.14	$92.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $10.37	Professional		$10.29	$10.29	$10.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $41.68	Professional		$14.10	$14.10	$41.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $69.14 / $106.85	Professional		$14.10	$69.14	$106.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $15.66 / $51.90	Professional		$9.78	$15.66	$51.90