Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $87.50 / $353.40	Facility		$24.97	$87.50	$353.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $18.86 / $24.97	Professional		$18.13	$18.86	$24.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $54.11 / $57.23	Facility		$44.74	$54.11	$57.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $83.24	Professional		$10.28	$10.28	$83.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $56.53 / $58.75	Facility		$14.20	$56.53	$58.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Professional		$20.81	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $56.03 / $63.68	Professional		$23.95	$56.03	$63.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $18.53 / $24.97	Facility		$18.53	$18.53	$24.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $20.99 / $127.21	Facility		$18.53	$20.99	$127.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $12.90 / $46.26	Professional		$4.37	$12.90	$46.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $31.22 / $85.00	Professional		$10.22	$31.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $18.53 / $24.97	Facility		$18.53	$18.53	$24.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $49.36 / $70.40	Professional		$25.44	$49.36	$70.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $41.62 / $100.00	Facility		$41.62	$41.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.72 / $20.39	Professional		$11.03	$13.72	$20.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $49.18	Professional		$44.32	$44.32	$49.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $49.18 / $113.62	Professional		$26.33	$49.18	$113.62
United Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $12.49 / $46.26	Professional		$4.40	$12.49	$46.26