Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $125.10 / $223.20	Facility		$47.34	$125.10	$223.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.51 / $24.56	Professional		$15.92	$18.51	$24.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $55.20 / $58.38	Facility		$45.64	$55.20	$58.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $87.84	Professional		$10.48	$10.48	$87.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $57.66 / $59.92	Facility		$14.48	$57.66	$59.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.17 / $64.95	Professional		$24.37	$57.17	$64.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $25.48	Facility		$18.91	$18.91	$25.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $25.48 / $108.40	Facility		$18.91	$25.48	$108.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $21.23 / $62.31	Professional		$12.74	$21.23	$62.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $41.62 / $85.00	Professional		$10.62	$41.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $25.48	Facility		$18.91	$18.91	$25.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $52.27 / $208.67	Professional		$25.95	$52.27	$208.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $42.46 / $101.43	Facility		$42.46	$42.46	$101.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $14.04 / $20.65	Professional		$11.25	$14.04	$20.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $45.21 / $61.06	Professional		$45.21	$45.21	$61.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $61.06 / $115.92	Professional		$61.06	$61.06	$115.92
United Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Facility		$25.48	$25.48	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $17.51 / $58.18	Professional		$12.31	$17.51	$58.18