Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $151.68 / $475.34	Facility		$19.36	$151.68	$475.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.02 / $53.38	Professional		$6.42	$7.02	$53.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $22.57 / $23.87	Facility		$18.66	$22.57	$23.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $37.19	Professional		$6.43	$6.43	$37.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $23.59 / $24.51	Facility		$5.45	$23.59	$24.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.38 / $26.56	Professional		$9.91	$23.38	$26.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.94 / $10.42	Facility		$6.90	$6.94	$10.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $10.42 / $160.26	Facility		$6.90	$10.42	$160.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.68 / $33.06	Professional		$5.21	$8.68	$33.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $17.02 / $85.00	Professional		$4.34	$17.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.94 / $10.42	Facility		$6.90	$6.94	$10.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $21.38 / $33.68	Professional		$10.62	$21.38	$33.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $17.36 / $99.74	Facility		$17.36	$17.36	$99.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.72 / $8.36	Professional		$4.59	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $15.97 / $18.48	Professional		$15.97	$15.97	$18.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $43.79 / $47.39	Professional		$15.97	$43.79	$47.39
United Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Facility		$8.68	$8.68	$8.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.94 / $21.49	Professional		$5.03	$6.94	$21.49