Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $106.95 / $195.75	Facility		$42.40	$106.95	$195.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $20.22 / $64.00	Professional		$10.74	$20.22	$64.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $42.98 / $45.46	Facility		$35.54	$42.98	$45.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $67.43	Professional		$9.92	$9.92	$67.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $40.40 / $41.99	Facility		$12.28	$40.40	$41.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Professional		$16.53	$16.53	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $49.34 / $56.06	Professional		$19.00	$49.34	$56.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.84	Facility		$10.68	$11.54	$19.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $19.84 / $124.00	Facility		$10.68	$19.84	$124.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $16.53 / $43.75	Professional		$9.92	$16.53	$43.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $24.80 / $85.00	Professional		$8.27	$24.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.84	Facility		$10.68	$11.54	$19.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.39 / $56.10	Professional		$19.38	$40.39	$56.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $78.52	Facility		$33.06	$33.06	$78.52
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 $14.42 / $14.42 / $35.20	Professional		$14.42	$14.42	$35.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $47.78 / $90.25	Professional		$14.42	$47.78	$90.25
United Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Facility		$16.53	$16.53	$16.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $16.53 / $35.20	Professional		$9.92	$16.53	$35.20