Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $75.51 / $130.54	Facility		$20.67	$75.51	$130.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.13 / $9.38	Professional		$4.34	$5.13	$9.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $15.03 / $15.90	Facility		$12.43	$15.03	$15.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $24.75	Professional		$2.86	$2.86	$24.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $15.69 / $16.30	Facility		$3.86	$15.69	$16.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Professional		$5.78	$5.78	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.57 / $17.69	Professional		$6.61	$15.57	$17.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.62 / $6.94	Facility		$4.59	$4.62	$6.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $53.76 / $93.11	Facility		$4.59	$53.76	$93.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $5.78 / $61.88	Professional		$3.40	$5.78	$61.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $11.33 / $85.00	Professional		$2.89	$11.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.62 / $6.94	Facility		$4.59	$4.62	$6.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $14.26 / $121.88	Professional		$7.06	$14.26	$121.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $11.56 / $60.00	Facility		$11.56	$11.56	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.76 / $5.75	Professional		$3.06	$3.76	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $23.95	Professional		$12.31	$12.31	$23.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $27.42 / $31.56	Professional		$23.05	$27.42	$31.56
United Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Facility		$6.94	$6.94	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.84 / $15.84	Professional		$3.00	$4.84	$15.84