Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $71.69 / $172.19	Facility		$17.80	$71.69	$172.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.24 / $15.48	Professional		$11.08	$11.24	$15.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $33.54 / $35.47	Facility		$27.74	$33.54	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $53.37	Professional		$6.37	$6.37	$53.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $35.02 / $36.40	Facility		$8.80	$35.02	$36.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Professional		$12.90	$12.90	$12.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.74 / $39.47	Professional		$14.87	$34.74	$39.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $11.49 / $15.48	Facility		$11.49	$11.49	$15.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $15.48 / $113.05	Facility		$11.49	$15.48	$113.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.90 / $35.72	Professional		$7.74	$12.90	$35.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $25.27 / $85.00	Professional		$6.45	$25.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $11.49 / $15.48	Facility		$11.49	$11.49	$15.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $31.68 / $108.94	Professional		$15.76	$31.68	$108.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $100.00	Facility		$25.80	$25.80	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $8.49 / $12.55	Professional		$6.84	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $27.47 / $49.75	Professional		$27.47	$27.47	$49.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $70.43	Professional		$49.75	$49.75	$70.43
United Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $9.73 / $10.32	Facility		$9.73	$9.73	$10.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.63 / $35.35	Professional		$7.48	$10.63	$35.35