Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $71.34 / $837.07	Facility		$4.30	$71.34	$837.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $29.00 / $189.00	Professional		$3.95	$29.00	$189.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.88 / $2.89 / $5.65	Professional	52	$0.88	$2.89	$5.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $7.02 / $20.64	Professional		$2.71	$7.02	$20.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.91 / $2.54	Facility		$1.89	$1.91	$2.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.88 / $8.11	Professional		$6.25	$6.88	$8.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $6.24 / $20.00	Professional		$2.37	$6.24	$20.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $5.86 / $18.21	Facility		$2.06	$5.86	$18.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $7.50 / $1,513.00	Facility		$2.13	$7.50	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $14.30 / $76.56	Professional		$6.15	$14.30	$76.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $21.34 / $85.00	Professional		$6.25	$21.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $5.86 / $18.21	Facility		$2.06	$5.86	$18.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $8.77 / $21.64	Professional		$4.53	$8.77	$21.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $5.39 / $17.87	Facility		$4.03	$5.39	$17.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $12.54 / $185.90	Professional		$2.69	$12.54	$185.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $10.09 / $29.25	Professional		$5.09	$10.09	$29.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $10.14 / $22.13	Professional		$6.06	$10.14	$22.13