Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $94.99 / $181.56	Facility		$18.17	$94.99	$181.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.89 / $16.63	Professional		$9.44	$10.89	$16.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $31.49 / $33.29	Facility		$26.04	$31.49	$33.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $51.87	Professional		$8.97	$8.97	$51.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $32.86 / $34.15	Facility		$8.08	$32.86	$34.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $12.11	Professional		$12.11	$12.11	$12.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.61 / $37.06	Professional		$13.63	$32.61	$37.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $14.53	Facility		$10.78	$10.78	$14.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $55.69 / $122.50	Facility		$10.78	$55.69	$122.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $12.11 / $35.51	Professional		$7.10	$12.11	$35.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $18.17 / $85.00	Professional		$6.06	$18.17	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $14.53	Facility		$10.78	$10.78	$14.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $29.30 / $87.89	Professional		$14.80	$29.30	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $24.22 / $100.00	Facility		$24.22	$24.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.00 / $11.76	Professional		$6.42	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $25.79	Professional		$25.54	$25.54	$25.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $48.27 / $66.12	Professional		$25.54	$48.27	$66.12
United Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.11 / $12.11	Facility		$12.11	$12.11	$12.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.69 / $33.19	Professional		$7.02	$9.69	$33.19