Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $40.25 / $126.10	Facility		$21.66	$40.25	$126.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $18.39 / $24.78	Professional		$14.80	$18.39	$24.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $46.93 / $49.64	Facility		$38.81	$46.93	$49.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $73.64	Professional		$7.86	$7.86	$73.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $44.12 / $45.85	Facility		$13.19	$44.12	$45.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $23.44 / $55.24	Professional		$9.57	$23.44	$55.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $23.10	Facility		$16.39	$16.39	$23.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $18.05 / $85.74	Facility		$14.80	$18.05	$85.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $46.66	Professional		$10.47	$17.78	$46.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $31.18 / $85.00	Professional		$8.93	$31.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $23.10	Facility		$16.39	$16.39	$23.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $44.17 / $61.60	Professional		$20.14	$44.17	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $85.74	Facility		$36.10	$36.10	$85.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $9.57	Professional		$9.49	$9.49	$9.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $16.37 / $38.44	Professional		$16.37	$16.37	$38.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $94.76 / $98.55	Professional		$16.37	$94.76	$98.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $14.44 / $46.66	Professional		$9.75	$14.44	$46.66