Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $284.66	Facility		$94.50	$94.50	$284.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $36.15 / $46.35	Professional		$20.16	$36.15	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $120.51 / $127.46	Facility		$99.65	$120.51	$127.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $185.40	Professional		$18.54	$18.54	$185.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $70.39 / $113.27	Facility		$19.80	$70.39	$113.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Professional		$46.35	$46.35	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $149.53 / $229.38	Facility		$127.96	$149.53	$229.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $60.47 / $89.83	Professional		$24.37	$60.47	$89.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $41.72 / $59.33	Facility		$23.18	$41.72	$59.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $46.35 / $220.16	Facility		$23.18	$46.35	$220.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $27.81 / $83.43	Professional		$11.66	$27.81	$83.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $65.00 / $127.93	Professional		$23.18	$65.00	$127.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $41.72 / $59.33	Facility		$23.18	$41.72	$59.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $112.80 / $157.30	Professional		$51.44	$112.80	$157.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $92.70 / $220.16	Facility		$92.70	$92.70	$220.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $24.37 / $24.37	Professional		$9.53	$24.37	$24.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $98.70	Professional		$14.68	$14.68	$98.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $71.95 / $253.07	Professional		$14.68	$71.95	$253.07
United Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $23.18 / $37.08	Facility		$10.76	$23.18	$37.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $27.81 / $83.43	Professional		$11.74	$27.81	$83.43