Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $71.40 / $177.50	Facility		$19.86	$71.40	$177.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $19.86 / $73.81	Professional		$10.84	$19.86	$73.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $43.03 / $45.51	Facility		$35.58	$43.03	$45.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $67.52	Professional		$9.93	$9.93	$67.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $40.45 / $42.04	Facility		$12.29	$40.45	$42.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.56 / $50.64	Professional		$19.00	$44.56	$50.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $19.86	Facility		$10.31	$10.31	$19.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $14.90 / $78.61	Facility		$10.31	$14.90	$78.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.55 / $33.90	Professional		$14.00	$16.55	$33.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $24.83 / $85.00	Professional		$8.27	$24.83	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $19.86	Facility		$10.31	$10.31	$19.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.39 / $65.98	Professional		$19.38	$40.39	$65.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.10 / $33.10 / $78.61	Facility		$33.10	$33.10	$78.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $32.93 / $35.24	Professional		$32.93	$32.93	$35.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $60.46 / $90.36	Professional		$32.93	$60.46	$90.36
United Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $35.90	Facility		$13.24	$13.24	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.55 / $43.80	Professional		$14.00	$16.55	$43.80