Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $54.93 / $81.66	Facility		$43.94	$54.93	$81.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $35.75 / $43.94	Professional		$29.30	$35.75	$43.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $95.21 / $100.71	Facility		$78.73	$95.21	$100.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $36.61 / $156.83	Professional		$14.65	$36.61	$156.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $54.39 / $93.01	Facility		$36.61	$54.39	$93.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $38.45 / $47.27	Professional		$36.61	$38.45	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $98.62 / $112.06	Professional		$42.13	$98.62	$112.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $43.94 / $128.16	Facility		$28.20	$43.94	$128.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $43.94 / $128.16	Facility		$32.96	$43.94	$128.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $21.97 / $112.93	Professional		$18.30	$21.97	$112.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $58.40 / $85.00	Professional		$18.30	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $43.94 / $128.16	Facility		$28.20	$43.94	$128.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $89.13 / $122.24	Professional		$69.81	$89.13	$122.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $173.95 / $173.95	Facility		$117.58	$173.95	$173.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $183.10 / $183.10	Professional		$53.10	$183.10	$183.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $77.98 / $77.98	Professional		$77.98	$77.98	$77.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $199.95 / $199.95	Professional		$106.43	$199.95	$199.95
United Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $79.47	Facility		$29.30	$29.30	$79.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $21.97 / $68.16	Professional		$15.92	$21.97	$68.16