Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $125.70 / $180.90	Facility		$28.88	$125.70	$180.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.65 / $15.54	Professional		$9.97	$11.65	$15.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $33.67 / $35.61	Facility		$27.84	$33.67	$35.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $53.59	Professional		$6.39	$6.39	$53.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $35.17 / $36.54	Facility		$10.40	$35.17	$36.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.86 / $39.63	Professional		$14.87	$34.86	$39.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $15.54	Facility		$11.53	$11.53	$15.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $13.12 / $70.00	Facility		$11.53	$13.12	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.95 / $35.86	Professional		$7.60	$12.95	$35.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $25.38 / $85.00	Professional		$6.48	$25.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $15.54	Facility		$11.53	$11.53	$15.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $31.68 / $44.00	Professional		$15.83	$31.68	$44.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $30.86 / $70.00	Facility		$25.90	$30.86	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.49 / $12.55	Professional		$6.86	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $41.20	Professional		$27.58	$27.58	$41.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $65.30 / $70.70	Professional		$41.20	$65.30	$70.70
United Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $10.85 / $37.99	Professional		$7.51	$10.85	$37.99