Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $128.18 / $3,188.34	Facility		$20.16	$128.18	$3,188.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.71 / $16.13	Professional		$11.53	$11.71	$16.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $34.94 / $36.96	Facility		$28.90	$34.94	$36.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $55.61	Professional		$6.64	$6.64	$55.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $36.49 / $37.92	Facility		$9.17	$36.49	$37.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Professional		$13.44	$13.44	$13.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.19 / $41.13	Professional		$15.69	$36.19	$41.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $16.13	Facility		$11.96	$11.96	$16.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $13.44 / $77.00	Facility		$11.02	$13.44	$77.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.44 / $37.22	Professional		$8.06	$13.44	$37.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $26.34 / $85.00	Professional		$6.72	$26.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $16.13	Facility		$11.96	$11.96	$16.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $33.26 / $109.82	Professional		$16.42	$33.26	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $77.00	Facility		$26.88	$26.88	$77.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.82 / $13.07	Professional		$7.12	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $22.25 / $28.62	Professional		$22.25	$22.25	$28.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $22.25 / $73.38	Professional		$22.25	$22.25	$73.38
United Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.08 / $33.26	Professional		$7.80	$11.08	$33.26