Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $67.03 / $210.32	Facility		$18.91	$67.03	$210.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.74 / $15.76	Professional		$13.21	$13.74	$15.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.98 / $43.34	Facility		$33.88	$40.98	$43.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $7.78 / $63.62	Professional		$7.78	$7.78	$63.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $42.79 / $44.48	Facility		$10.75	$42.79	$44.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Professional		$15.76	$15.76	$15.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.44 / $48.23	Professional		$18.17	$42.44	$48.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.04 / $18.91	Facility		$14.04	$14.04	$18.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $15.76 / $165.00	Facility		$14.04	$15.76	$165.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $12.61 / $51.61	Professional		$6.33	$12.61	$51.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $23.64 / $85.00	Professional		$7.88	$23.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.04 / $18.91	Facility		$14.04	$14.04	$18.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $38.81 / $111.56	Professional		$19.26	$38.81	$111.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $31.52 / $165.00	Facility		$31.52	$31.52	$165.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.45 / $15.42	Professional		$8.35	$10.45	$15.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $65.41	Professional		$33.56	$33.56	$65.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $65.41 / $86.05	Professional		$30.66	$65.41	$86.05
United Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Facility		$15.76	$15.76	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $11.29 / $35.03	Professional		$6.50	$11.29	$35.03