Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $156.24 / $242.32	Facility		$72.52	$156.24	$242.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.41 / $33.60	Professional		$12.43	$14.41	$33.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $43.68 / $46.20	Facility		$36.11	$43.68	$46.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $12.45 / $69.51	Professional		$12.45	$12.45	$69.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $45.62 / $47.42	Facility		$11.21	$45.62	$47.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.24 / $51.41	Professional		$19.41	$45.24	$51.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $14.69 / $20.16	Facility		$14.69	$14.69	$20.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $131.94 / $209.44	Facility		$17.12	$131.94	$209.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $16.80 / $95.47	Professional		$10.08	$16.80	$95.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $32.94 / $85.00	Professional		$8.40	$32.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $14.69 / $20.16	Facility		$14.69	$14.69	$20.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $41.18 / $127.39	Professional		$20.54	$41.18	$127.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $33.60 / $100.00	Facility		$33.60	$33.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.11 / $16.47	Professional		$8.90	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $35.78	Professional		$28.02	$28.02	$35.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $91.73	Professional		$28.02	$28.02	$91.73
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $13.86 / $46.54	Professional		$8.40	$13.86	$46.54