Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $141.12 / $320.11	Facility		$15.63	$141.12	$320.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $7.01 / $27.57	Professional		$5.60	$7.01	$27.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $18.23 / $19.28	Facility		$15.07	$18.23	$19.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.20 / $30.03	Professional		$5.20	$5.20	$30.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $19.79 / $20.62	Facility		$4.40	$19.79	$20.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.01 / $7.01	Professional		$7.01	$7.01	$7.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $18.88 / $21.45	Professional		$8.26	$18.88	$21.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.61 / $8.41	Facility		$5.58	$5.61	$8.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $33.40 / $127.96	Facility		$5.58	$33.40	$127.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $7.01 / $19.42	Professional		$4.12	$7.01	$19.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $13.75 / $85.00	Professional		$3.51	$13.75	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.61 / $8.41	Facility		$5.58	$5.61	$8.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $17.42 / $51.87	Professional		$8.57	$17.42	$51.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $60.00	Facility		$14.02	$14.02	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.57 / $6.80	Professional		$3.72	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $14.93	Professional		$10.15	$10.15	$14.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $33.26 / $38.27	Professional		$10.15	$33.26	$38.27
United Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $7.01 / $7.01	Facility		$7.01	$7.01	$7.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $5.78 / $19.21	Professional		$3.51	$5.78	$19.21