Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $41.90 / $289.10	Facility		$28.19	$41.90	$289.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $17.01 / $22.55	Professional		$15.41	$17.01	$22.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $48.85 / $51.67	Facility		$40.40	$48.85	$51.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $77.73	Professional		$9.27	$9.27	$77.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $51.02 / $53.04	Facility		$12.82	$51.02	$53.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Professional		$18.79	$18.79	$18.79
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 / $50.60 / $57.50	Professional		$21.48	$50.60	$57.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $22.55	Facility		$16.75	$16.75	$22.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $18.09 / $122.00	Facility		$16.75	$18.09	$122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.79 / $55.15	Professional		$11.03	$18.79	$55.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $36.86 / $85.00	Professional		$9.40	$36.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $22.55	Facility		$16.75	$16.75	$22.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $45.94 / $65.89	Professional		$22.97	$45.94	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $37.58 / $122.00	Facility		$37.58	$37.58	$122.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $12.41 / $18.30	Professional		$9.96	$12.41	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $40.01 / $56.86	Professional		$40.01	$40.01	$56.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $56.86 / $102.59	Professional		$56.86	$56.86	$102.59
United Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Facility		$18.79	$18.79	$18.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.35 / $55.15	Professional		$10.90	$16.35	$55.15