Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $151.90 / $281.79	Facility		$38.92	$151.90	$281.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.30 / $71.20	Professional		$12.55	$19.30	$71.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $50.21 / $53.10	Facility		$41.52	$50.21	$53.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $79.90	Professional		$9.08	$9.08	$79.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $49.96 / $51.92	Facility		$14.12	$49.96	$51.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
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 $10.23 / $27.66 / $59.09	Professional		$10.23	$27.66	$59.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.88 / $24.72	Facility		$18.14	$18.88	$24.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $20.56 / $20.56	Professional		$20.56	$20.56	$20.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $92.69 / $197.78	Facility		$18.88	$92.69	$197.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $20.18 / $93.09	Professional		$11.59	$20.18	$93.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $53.30 / $85.00	Professional		$9.66	$53.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.88 / $24.72	Facility		$18.14	$18.88	$24.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $20.56 / $20.56	Professional		$20.56	$20.56	$20.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $47.33 / $66.00	Professional		$22.46	$47.33	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $95.74	Facility		$38.61	$38.61	$95.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.23	Professional		$10.16	$10.16	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $41.12	Professional		$37.50	$37.50	$41.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $105.43 / $105.43	Professional		$37.50	$105.43	$105.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $15.45 / $52.92	Professional		$11.04	$15.45	$52.92