Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $136.74 / $290.39	Facility		$37.40	$136.74	$290.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.93 / $23.03	Professional		$14.41	$14.93	$23.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $43.60 / $46.12	Facility		$36.06	$43.60	$46.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $69.38	Professional		$8.27	$8.27	$69.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $45.55 / $47.35	Facility		$11.44	$45.55	$47.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.16 / $51.31	Professional		$19.41	$45.16	$51.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $20.12	Facility		$14.94	$14.94	$20.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $77.47 / $184.63	Facility		$14.94	$77.47	$184.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $16.77 / $54.92	Professional		$9.84	$16.77	$54.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $32.88 / $85.00	Professional		$8.39	$32.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $20.12	Facility		$14.94	$14.94	$20.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $41.18 / $87.20	Professional		$20.50	$41.18	$87.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $80.19	Facility		$33.54	$33.54	$80.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.11 / $16.47	Professional		$8.89	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $35.71 / $40.07	Professional		$35.71	$35.71	$40.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $66.87 / $91.56	Professional		$40.07	$66.87	$91.56
United Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $13.42 / $16.77	Facility		$8.39	$13.42	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $14.17 / $41.53	Professional		$9.73	$14.17	$41.53