Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $113.93 / $260.70	Facility		$17.12	$113.93	$260.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.08 / $14.89	Professional		$10.79	$11.08	$14.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $32.27 / $34.13	Facility		$26.68	$32.27	$34.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $50.63	Professional		$6.13	$6.13	$50.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $33.70 / $35.03	Facility		$8.47	$33.70	$35.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Professional		$12.41	$12.41	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.42 / $37.97	Professional		$14.04	$33.42	$37.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $14.89	Facility		$11.05	$11.05	$14.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $14.89 / $101.25	Facility		$11.05	$14.89	$101.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.41 / $40.63	Professional		$7.20	$12.41	$40.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $20.14 / $85.00	Professional		$6.21	$20.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $14.89	Facility		$11.05	$11.05	$14.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $30.10 / $122.98	Professional		$15.17	$30.10	$122.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $24.82 / $100.00	Facility		$24.82	$24.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.17 / $12.02	Professional		$6.58	$8.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $27.50	Professional		$26.43	$26.43	$27.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $40.92 / $67.76	Professional		$27.50	$40.92	$67.76
United Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Facility		$12.41	$12.41	$12.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.93 / $27.58	Professional		$6.21	$9.93	$27.58