Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $135.15 / $256.32	Facility		$37.78	$135.15	$256.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.78 / $28.69	Professional		$12.52	$14.78	$28.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $44.04 / $46.59	Facility		$36.42	$44.04	$46.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $69.09	Professional		$8.36	$8.36	$69.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $45.99 / $47.80	Facility		$11.56	$45.99	$47.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.62 / $51.84	Professional		$19.41	$45.62	$51.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $20.32	Facility		$15.09	$15.09	$20.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $37.00 / $150.25	Facility		$15.09	$37.00	$150.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.84 / $37.65	Professional		$9.27	$13.84	$37.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $25.41 / $85.00	Professional		$8.47	$25.41	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $20.32	Facility		$15.09	$15.09	$20.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $41.18 / $164.71	Professional		$20.70	$41.18	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $120.00	Facility		$33.88	$33.88	$120.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.11 / $16.47	Professional		$8.98	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $36.07 / $44.29	Professional		$36.07	$36.07	$44.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $49.23 / $92.49	Professional		$44.29	$49.23	$92.49
United Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $12.97 / $37.65	Professional		$8.47	$12.97	$37.65