Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $65.29 / $202.50	Facility		$35.14	$65.29	$202.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $26.15 / $27.52	Professional		$23.92	$26.15	$27.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $76.13 / $80.52	Facility		$62.95	$76.13	$80.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $119.45	Professional		$13.01	$13.01	$119.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $79.50 / $82.63	Facility		$19.50	$79.50	$82.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Professional		$29.28	$29.28	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $78.84 / $89.60	Professional		$33.86	$78.84	$89.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $15.52 / $35.14	Facility		$15.52	$15.52	$35.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $26.35 / $139.08	Facility		$15.52	$26.35	$139.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.28 / $68.31	Professional		$16.98	$29.28	$68.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $55.00 / $85.00	Professional		$14.64	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $15.52 / $35.14	Facility		$15.52	$15.52	$35.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $70.19 / $100.10	Professional		$35.78	$70.19	$100.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $139.08	Facility		$58.56	$58.56	$139.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $15.52 / $15.52	Professional		$14.70	$15.52	$15.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $32.53 / $62.35	Professional		$32.53	$32.53	$62.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $94.53 / $159.87	Professional		$32.53	$94.53	$159.87
United Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.02 / $58.55	Professional		$16.98	$26.02	$58.55