Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $50.13 / $189.01	Facility		$26.98	$50.13	$189.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.13 / $102.20	Professional		$18.43	$21.13	$102.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $58.45 / $61.82	Facility		$48.33	$58.45	$61.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $91.71	Professional		$8.99	$8.99	$91.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $54.94 / $57.10	Facility		$14.99	$54.94	$57.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.48 / $22.48	Professional		$22.48	$22.48	$22.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $60.53 / $68.79	Professional		$25.61	$60.53	$68.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $26.98	Facility		$11.24	$11.24	$26.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $18.43 / $106.78	Facility		$11.24	$18.43	$106.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.66 / $49.52	Professional		$13.49	$22.66	$49.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $55.00 / $85.00	Professional		$11.24	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $26.98	Facility		$11.24	$11.24	$26.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $53.22 / $74.64	Professional		$26.22	$53.22	$74.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $44.96 / $106.78	Facility		$44.96	$44.96	$106.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $11.29 / $11.29	Professional		$10.94	$11.29	$11.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $47.87	Professional		$17.00	$17.00	$47.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $65.84 / $122.74	Professional		$17.00	$65.84	$122.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $48.78	Facility		$17.98	$17.98	$48.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.48 / $49.52	Professional		$13.49	$22.48	$49.52