Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $53.70 / $126.36	Facility		$28.90	$53.70	$126.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $22.64 / $28.90	Professional		$17.41	$22.64	$28.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $62.61 / $66.22	Facility		$51.77	$62.61	$66.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $103.15	Professional		$11.89	$11.89	$103.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $65.37 / $67.95	Facility		$15.65	$65.37	$67.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $31.41 / $73.69	Professional		$12.76	$31.41	$73.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $24.08 / $30.82	Facility		$19.98	$24.08	$30.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $28.90 / $114.38	Facility		$19.75	$28.90	$114.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.08 / $66.70	Professional		$14.45	$24.08	$66.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $36.11 / $85.00	Professional		$11.92	$36.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $24.08 / $30.82	Facility		$19.98	$24.08	$30.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $58.37 / $81.40	Professional		$27.70	$58.37	$81.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $51.70 / $114.38	Facility		$48.16	$51.70	$114.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $12.76	Professional		$12.66	$12.66	$12.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.77 / $51.28	Professional		$24.77	$24.77	$51.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $95.99 / $131.47	Professional		$24.77	$95.99	$131.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $20.95 / $86.69	Professional		$13.97	$20.95	$86.69