Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $119.52 / $179.39	Facility		$43.24	$119.52	$179.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.14 / $8.27	Professional		$5.77	$6.14	$8.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $17.91 / $18.95	Facility		$14.81	$17.91	$18.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $28.51	Professional		$3.40	$3.40	$28.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $18.70 / $19.43	Facility		$4.38	$18.70	$19.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $18.55 / $21.09	Professional		$7.85	$18.55	$21.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $8.27	Facility		$6.13	$6.13	$8.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $71.93 / $148.29	Facility		$6.89	$71.93	$148.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $6.89 / $24.80	Professional		$4.04	$6.89	$24.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $13.50 / $85.00	Professional		$3.45	$13.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $8.27	Facility		$6.13	$6.13	$8.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $16.63 / $59.25	Professional		$8.42	$16.63	$59.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $13.78 / $100.00	Facility		$13.78	$13.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.57 / $6.80	Professional		$3.65	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $14.67	Professional		$10.30	$10.30	$14.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $34.75 / $37.61	Professional		$10.30	$34.75	$37.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.68 / $18.88	Professional		$3.45	$5.68	$18.88