Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $53.23 / $139.13	Facility		$21.95	$53.23	$139.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $21.95 / $37.07	Professional		$13.26	$21.95	$37.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $26.64	Facility		$26.64	$26.64	$26.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $27.06	Professional		$21.31	$21.31	$27.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $29.17 / $34.10	Facility		$29.17	$29.17	$34.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $47.09 / $67.31	Facility		$21.31	$47.09	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $27.82 / $31.61	Professional		$20.96	$27.82	$31.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $21.20 / $21.31	Facility		$2.15	$21.20	$21.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $42.62 / $42.62	Professional		$1.60	$42.62	$42.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $56.19 / $102.42	Facility		$11.92	$56.19	$102.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $42.62	Professional		$21.20	$21.20	$42.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $65.00 / $85.00	Professional		$20.58	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $21.20 / $21.31	Facility		$2.15	$21.20	$21.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $42.62 / $42.62	Professional		$1.60	$42.62	$42.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.38 / $65.00	Professional		$21.31	$23.38	$65.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $100.00	Facility		$21.31	$21.31	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $29.92 / $29.92	Professional		$16.23	$29.92	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $29.18	Professional		$21.31	$21.31	$29.18