Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $106.40 / $344.46	Facility		$24.70	$106.40	$344.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.00 / $21.48	Professional		$13.24	$16.00	$21.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $46.54 / $49.23	Facility		$38.49	$46.54	$49.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $71.59	Professional		$8.84	$8.84	$71.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $48.61 / $50.52	Facility		$12.21	$48.61	$50.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.20 / $54.78	Professional		$20.65	$48.20	$54.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $21.48	Facility		$15.95	$15.95	$21.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $17.89 / $171.23	Facility		$15.95	$17.89	$171.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $14.32 / $39.78	Professional		$5.77	$14.32	$39.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $26.85 / $85.00	Professional		$8.94	$26.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $21.48	Facility		$15.95	$15.95	$21.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.56 / $158.15	Professional		$21.88	$43.56	$158.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $158.28	Facility		$35.79	$35.79	$158.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.76 / $17.51	Professional		$9.49	$11.76	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $54.74	Professional		$38.11	$38.11	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $54.74 / $97.73	Professional		$35.29	$54.74	$97.73
United Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $10.74 / $39.78	Professional		$5.90	$10.74	$39.78