Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $202.01 / $294.89	Facility		$64.17	$202.01	$294.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $42.59 / $141.30	Professional		$10.52	$42.59	$141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $24.21 / $65.77	Professional		$12.20	$24.21	$65.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $13.93 / $16.60	Facility		$10.16	$13.93	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.70 / $16.42	Professional		$10.16	$12.70	$16.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $35.51 / $40.35	Professional		$23.91	$35.51	$40.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $16.34 / $65.48	Facility		$10.71	$16.34	$65.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $66.08 / $1,642.00	Facility		$10.89	$66.08	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $33.89 / $804.00	Professional		$13.59	$33.89	$804.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $56.27 / $85.00	Professional		$25.58	$56.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $15.70 / $65.48	Facility		$10.71	$15.70	$65.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $29.54 / $47.26	Professional		$21.00	$29.54	$47.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $2,922.50 / $2,922.50	Facility		$73.00	$2,922.50	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $804.00 / $804.00	Professional		$47.79	$804.00	$804.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $67.16 / $100.26	Professional		$28.42	$67.16	$100.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,455.00 / $2,202.90	Facility		$1,034.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $27.69 / $51.94	Professional		$11.71	$27.69	$51.94