Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $187.17 / $393.16	Facility		$49.82	$187.17	$393.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.89 / $26.81	Professional		$19.19	$19.89	$26.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $92.43	Professional		$11.04	$11.04	$92.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $23.46 / $69.28	Facility		$17.51	$23.46	$69.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Professional		$22.34	$22.34	$22.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $65.42 / $74.34	Professional		$25.61	$65.42	$74.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.41 / $26.81	Facility		$21.00	$21.41	$26.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $26.81 / $182.22	Facility		$21.41	$26.81	$182.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $22.34 / $61.88	Professional		$13.11	$22.34	$61.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $55.00 / $85.00	Professional		$11.17	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.41 / $26.81	Facility		$21.00	$21.41	$26.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $96.23 / $134.19	Professional		$46.36	$96.23	$134.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $53.25 / $182.22	Facility		$44.68	$53.25	$182.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $19.27 / $36.07	Professional		$11.84	$19.27	$36.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $47.57 / $72.09	Professional		$47.57	$47.57	$72.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $112.71 / $121.98	Professional		$72.09	$112.71	$121.98
United Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Facility		$22.34	$22.34	$22.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.86 / $61.88	Professional		$12.96	$18.86	$61.88