Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $143.00 / $156.94	Facility		$32.14	$143.00	$156.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $24.10 / $32.14	Professional		$23.34	$24.10	$32.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $69.63 / $73.65	Facility		$57.58	$69.63	$73.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $110.80	Professional		$13.22	$13.22	$110.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $72.70 / $75.56	Facility		$21.49	$72.70	$75.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $26.78	Professional		$26.78	$26.78	$26.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $72.12 / $81.95	Professional		$30.98	$72.12	$81.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.14	Facility		$23.85	$23.85	$32.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $24.10 / $128.00	Facility		$21.96	$24.10	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.78 / $74.18	Professional		$16.07	$26.78	$74.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $52.48 / $85.00	Professional		$13.39	$52.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.14	Facility		$23.85	$23.85	$32.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $65.73 / $114.07	Professional		$32.72	$65.73	$114.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $63.80 / $128.00	Facility		$53.56	$63.80	$128.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $17.64 / $26.14	Professional		$14.19	$17.64	$26.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $57.03 / $82.40	Professional		$57.03	$57.03	$82.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $82.40 / $146.22	Professional		$82.40	$82.40	$146.22
United Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $26.78	Facility		$26.78	$26.78	$26.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $22.60 / $78.56	Professional		$13.39	$22.60	$78.56