Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $233.72 / $631.40	Facility		$64.40	$233.72	$631.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $8.56 / $18.39	Professional		$7.81	$8.56	$18.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $27.46 / $29.04	Facility		$22.70	$27.46	$29.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $45.22	Professional		$5.99	$5.99	$45.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $28.69 / $29.82	Facility		$6.63	$28.69	$29.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $10.56 / $10.56	Professional		$10.56	$10.56	$10.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.44 / $32.31	Professional		$12.39	$28.44	$32.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.44 / $12.67	Facility		$8.41	$8.44	$12.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $172.09 / $278.12	Facility		$23.09	$172.09	$278.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $10.56 / $110.64	Professional		$6.34	$10.56	$110.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $20.72 / $85.00	Professional		$5.28	$20.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.44 / $12.67	Facility		$8.41	$8.44	$12.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $26.14 / $40.83	Professional		$12.91	$26.14	$40.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $100.00	Facility		$21.12	$21.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $7.02 / $10.45	Professional		$5.60	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $13.65 / $22.49	Professional		$13.65	$13.65	$22.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $13.65 / $57.66	Professional		$13.65	$13.65	$57.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.56 / $10.56	Facility		$10.56	$10.56	$10.56
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.86 / $29.25	Professional		$5.28	$8.86	$29.25