Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $89.92 / $116.92	Facility		$20.68	$89.92	$116.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $13.35 / $307.05	Professional		$12.87	$13.35	$307.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $38.97 / $41.22	Facility		$32.22	$38.97	$41.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $62.02	Professional		$7.40	$7.40	$62.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $40.69 / $42.29	Facility		$12.03	$40.69	$42.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.36 / $45.88	Professional		$16.93	$40.36	$45.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $17.98	Facility		$13.35	$13.35	$17.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $13.49 / $100.00	Facility		$12.29	$13.49	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $14.99 / $41.52	Professional		$8.99	$14.99	$41.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $52.92 / $85.00	Professional		$7.42	$52.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $17.98	Facility		$13.35	$13.35	$17.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $36.43 / $81.28	Professional		$18.32	$36.43	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $35.74 / $100.00	Facility		$29.98	$35.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.96 / $14.64	Professional		$7.94	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $85.93	Professional		$31.92	$31.92	$85.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $81.84 / $85.93	Professional		$59.75	$81.84	$85.93
United Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Facility		$14.99	$14.99	$14.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $12.57 / $41.52	Professional		$7.50	$12.57	$41.52