Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $180.48 / $487.05	Facility		$35.11	$180.48	$487.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $64.92 / $69.23	Professional		$22.89	$64.92	$69.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $66.17 / $69.98	Facility		$54.72	$66.17	$69.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $101.80	Professional		$12.57	$12.57	$101.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $69.12 / $71.83	Facility		$16.87	$69.12	$71.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Professional		$25.45	$25.45	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.53 / $77.88	Professional		$29.32	$68.53	$77.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $30.54	Facility		$22.66	$22.66	$30.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $25.58 / $129.59	Facility		$22.66	$25.58	$129.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $15.27 / $56.56	Professional		$4.87	$15.27	$56.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $38.18 / $85.00	Professional		$11.39	$38.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $30.54	Facility		$22.66	$22.66	$30.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $62.57 / $99.52	Professional		$31.11	$62.57	$99.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $60.64 / $121.47	Facility		$50.90	$60.64	$121.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.82 / $24.83	Professional		$13.49	$16.82	$24.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $54.20	Professional		$30.90	$30.90	$54.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $30.90 / $138.96	Professional		$29.34	$30.90	$138.96
United Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Facility		$25.45	$25.45	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $15.27 / $56.56	Professional		$4.91	$15.27	$56.56