Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $116.14 / $162.00	Facility		$69.25	$116.14	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.60 / $49.70	Professional		$12.48	$15.60	$49.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.36 / $51.33	Professional		$13.00	$15.36	$51.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.99 / $53.93 / $75.50	Facility		$50.99	$53.93	$75.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $291.83 / $460.38	Facility		$13.26	$291.83	$460.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $159.13 / $180.84	Professional		$13.26	$159.13	$180.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $15.60 / $111.97	Facility		$12.48	$15.60	$111.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $32.74 / $652.01	Facility		$12.48	$32.74	$652.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $27.30	Professional		$13.00	$13.00	$27.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $56.63 / $85.00	Professional		$19.19	$56.63	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $15.60 / $111.97	Facility		$12.48	$15.60	$111.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $141.15 / $207.81	Professional		$0.66	$141.15	$207.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.54 / $101.10	Professional		$13.26	$16.54	$101.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $24.65 / $24.65	Professional		$24.65	$24.65	$24.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $375.55 / $375.55	Professional		$37.20	$375.55	$375.55
United Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $127.26 / $138.50	Facility		$127.26	$127.26	$138.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.89	Professional		$13.00	$13.00	$16.89