Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $128.88 / $191.52	Facility		$63.91	$128.88	$191.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.85 / $28.96	Professional		$14.27	$14.85	$28.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $44.28 / $46.83	Facility		$36.61	$44.28	$46.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $70.45	Professional		$8.41	$8.41	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $46.24 / $48.06	Facility		$12.69	$46.24	$48.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Professional		$17.03	$17.03	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $45.86 / $52.11	Professional		$19.82	$45.86	$52.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $20.44	Facility		$15.17	$15.17	$20.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $121.75 / $174.35	Facility		$15.17	$121.75	$174.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $17.03 / $64.81	Professional		$9.88	$17.03	$64.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $33.38 / $85.00	Professional		$8.52	$33.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $20.44	Facility		$15.17	$15.17	$20.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $41.98 / $107.64	Professional		$20.81	$41.98	$107.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $36.19 / $97.00	Facility		$34.06	$36.19	$97.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.27 / $16.73	Professional		$9.02	$11.27	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $36.27	Professional		$25.75	$25.75	$36.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $60.50 / $92.98	Professional		$25.75	$60.50	$92.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $41.06	Facility		$15.14	$15.14	$41.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.28 / $49.98	Professional		$8.52	$14.28	$49.98