Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $64.42 / $148.68	Facility		$18.45	$64.42	$148.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $28.76 / $146.00	Professional		$9.16	$28.76	$146.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $45.21 / $150.41	Professional		$17.13	$45.21	$150.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $12.96 / $12.96	Facility		$8.55	$12.96	$12.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $55.70 / $62.69	Professional		$40.56	$55.70	$62.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $98.98 / $159.66	Facility		$84.71	$98.98	$159.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $44.82 / $127.96	Professional		$17.67	$44.82	$127.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $31.49 / $61.55	Facility		$10.50	$31.49	$61.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $64.97 / $1,789.00	Facility		$12.81	$64.97	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $83.03 / $183.00	Professional		$31.55	$83.03	$183.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $69.24 / $85.00	Professional		$28.32	$69.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $31.49 / $61.55	Facility		$10.50	$31.49	$61.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $40.59 / $105.61	Professional		$20.79	$40.59	$105.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $132.62 / $338.92	Professional		$16.88	$132.62	$338.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $46.71 / $158.15	Professional		$46.71	$46.71	$158.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $127.59 / $218.58	Professional		$52.17	$127.59	$218.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $86.91 / $141.85	Professional		$31.55	$86.91	$141.85