Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $72.33 / $1,049.02	Facility		$45.28	$72.33	$1,049.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $35.84 / $51.81	Professional		$9.90	$35.84	$51.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.12 / $98.10 / $103.76	Facility		$81.12	$98.10	$103.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $55.79	Professional		$4.82	$4.82	$55.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $37.72 / $95.83	Facility		$12.05	$37.72	$95.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $121.10 / $185.77	Facility		$103.63	$121.10	$185.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $70.63 / $115.45	Professional		$43.37	$70.63	$115.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $45.28	Facility		$19.62	$19.62	$45.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $29.81 / $179.22	Facility		$19.62	$29.81	$179.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $16.63 / $37.72	Professional		$7.23	$16.63	$37.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $37.72 / $85.00	Professional		$18.68	$37.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $45.28	Facility		$19.62	$19.62	$45.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $90.24 / $128.69	Professional		$50.29	$90.24	$128.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $75.45 / $179.22	Facility		$75.45	$75.45	$179.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $18.32 / $18.32	Professional		$6.39	$18.32	$18.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $25.66	Professional		$12.05	$12.05	$25.66
Security Health Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $72.66 / $83.02	Facility		$60.37	$72.66	$83.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $35.02 / $206.01	Professional		$12.05	$35.02	$206.01
United Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $15.85 / $37.72	Professional		$7.23	$15.85	$37.72