Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $152.63 / $288.95	Facility		$30.55	$152.63	$288.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $17.52 / $22.37	Professional		$15.28	$17.52	$22.37
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 / $49.61 / $177.57	Facility		$9.69	$49.61	$177.57
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 $22.37 / $22.37 / $22.37	Facility		$22.37	$22.37	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.91 / $39.14	Professional		$9.32	$14.91	$39.14