Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $136.40 / $258.89	Facility		$34.65	$136.40	$258.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.57 / $9.80	Professional		$6.24	$6.57	$9.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $21.24 / $22.47	Facility		$17.57	$21.24	$22.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $33.79	Professional		$4.04	$4.04	$33.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $23.06 / $24.04	Facility		$5.13	$23.06	$24.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Professional		$8.17	$8.17	$8.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.00 / $25.00	Professional		$9.50	$22.00	$25.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.54 / $9.80	Facility		$6.50	$6.54	$9.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $77.55 / $180.90	Facility		$6.50	$77.55	$180.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.97 / $67.31	Professional		$4.90	$8.97	$67.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $16.01 / $85.00	Professional		$4.09	$16.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.54 / $9.80	Facility		$6.50	$6.54	$9.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $19.80 / $31.65	Professional		$9.99	$19.80	$31.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.34 / $65.64	Facility		$16.34	$16.34	$65.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.39 / $8.10	Professional		$4.33	$5.39	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $17.39	Professional		$10.87	$10.87	$17.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $38.75 / $44.61	Professional		$10.87	$38.75	$44.61
United Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.54 / $8.17	Facility		$4.09	$6.54	$8.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $6.74 / $22.39	Professional		$4.74	$6.74	$22.39