Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $127.97 / $317.26	Facility		$22.33	$127.97	$317.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $14.67 / $22.21	Professional		$11.96	$14.67	$22.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $42.07 / $44.50	Facility		$34.79	$42.07	$44.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $66.94	Professional		$7.99	$7.99	$66.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $43.92 / $45.64	Facility		$11.04	$43.92	$45.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Professional		$16.18	$16.18	$16.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.57 / $49.51	Professional		$18.59	$43.57	$49.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $19.42	Facility		$14.41	$14.41	$19.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $16.18 / $100.00	Facility		$13.27	$16.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $16.18 / $44.82	Professional		$9.71	$16.18	$44.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $31.71 / $85.00	Professional		$8.09	$31.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $19.42	Facility		$14.41	$14.41	$19.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.60 / $61.49	Professional		$21.84	$39.60	$61.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $100.00	Facility		$32.36	$32.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.62 / $15.94	Professional		$8.58	$10.62	$15.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $34.46 / $56.86	Professional		$34.46	$34.46	$56.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $81.59 / $88.34	Professional		$56.86	$81.59	$88.34
United Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Facility		$16.18	$16.18	$16.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $16.18 / $52.96	Professional		$9.38	$16.18	$52.96