Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $197.16 / $492.10	Facility		$41.57	$197.16	$492.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.83 / $25.59	Professional		$12.22	$15.83	$25.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $48.46 / $51.26	Facility		$40.08	$48.46	$51.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $76.04	Professional		$7.46	$7.46	$76.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.57 / $47.35	Facility		$11.22	$19.57	$47.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Professional		$18.64	$18.64	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.19 / $57.04	Professional		$21.48	$50.19	$57.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $22.37	Facility		$9.69	$9.69	$22.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $38.85 / $243.68	Facility		$9.69	$38.85	$243.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $18.64 / $39.14	Professional		$10.81	$18.64	$39.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $27.96 / $85.00	Professional		$9.32	$27.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $22.37	Facility		$9.69	$9.69	$22.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $44.74 / $63.80	Professional		$24.93	$44.74	$63.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $88.54	Facility		$37.28	$37.28	$88.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $9.77 / $9.77	Professional		$8.66	$9.77	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $39.69	Professional		$18.64	$18.64	$39.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $54.17 / $101.77	Professional		$18.64	$54.17	$101.77
United Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Facility		$18.64	$18.64	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.91 / $49.43	Professional		$9.32	$14.91	$49.43