Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $93.12 / $197.16	Facility		$26.70	$93.12	$197.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $34.58	Professional		$14.32	$17.42	$34.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $50.31 / $53.21	Facility		$41.60	$50.31	$53.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $80.06	Professional		$9.56	$9.56	$80.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $52.57 / $54.64	Facility		$15.53	$52.57	$54.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Professional		$19.35	$19.35	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.11 / $59.21	Professional		$22.30	$52.11	$59.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $23.22	Facility		$17.23	$17.23	$23.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $19.35 / $103.51	Facility		$17.23	$19.35	$103.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $19.35 / $53.60	Professional		$11.61	$19.35	$53.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $37.94 / $85.00	Professional		$9.68	$37.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $23.22	Facility		$17.23	$17.23	$23.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $47.52 / $66.00	Professional		$23.66	$47.52	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $41.11 / $91.98	Facility		$38.70	$41.11	$91.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $12.74 / $18.82	Professional		$10.26	$12.74	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $41.21	Professional		$35.29	$35.29	$41.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $105.65	Professional		$35.29	$35.29	$105.65
United Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $15.48	Facility		$14.61	$14.61	$15.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.35 / $53.03	Professional		$11.22	$19.35	$53.03