Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $95.33 / $252.61	Facility		$25.78	$95.33	$252.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $25.78 / $46.22	Professional		$21.99	$25.78	$46.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $56.22 / $93.02	Facility		$51.11	$56.22	$93.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $47.53 / $62.86	Professional		$44.20	$47.53	$62.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $61.33 / $109.38	Facility		$36.77	$61.33	$109.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $53.67 / $73.91	Professional		$51.11	$53.67	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.32 / $106.00 / $212.73	Facility		$34.32	$106.00	$212.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $74.06 / $96.73	Professional		$25.55	$74.06	$96.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $38.67 / $58.78	Facility		$14.11	$38.67	$58.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $51.11 / $61.33	Professional		$29.26	$51.11	$61.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $51.11 / $230.54	Facility		$24.43	$51.11	$230.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.00 / $61.33	Professional		$22.39	$34.00	$61.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $55.00 / $85.00	Professional		$23.51	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $38.67 / $58.78	Facility		$14.11	$38.67	$58.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $51.11 / $61.33	Professional		$29.26	$51.11	$61.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $78.66 / $131.47	Professional		$51.11	$78.66	$131.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $99.82 / $230.54	Facility		$35.00	$99.82	$230.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $314.95	Professional		$25.55	$35.00	$314.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $51.11 / $51.11	Professional		$51.11	$51.11	$51.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $51.11 / $51.11	Professional		$40.81	$51.11	$51.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $30.67 / $43.83	Professional		$18.22	$30.67	$43.83