Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $32.22 / $115.97	Facility		$16.05	$32.22	$115.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.67 / $14.45	Professional		$11.22	$11.67	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $37.57 / $39.74	Facility		$31.07	$37.57	$39.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $58.95	Professional		$6.36	$6.36	$58.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $35.31 / $36.70	Facility		$9.64	$35.31	$36.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.90 / $44.21	Professional		$16.93	$38.90	$44.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.56 / $17.34	Facility		$11.47	$11.56	$17.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $13.12 / $100.00	Facility		$11.47	$13.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $14.13 / $37.78	Professional		$8.67	$14.13	$37.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $25.23 / $85.00	Professional		$7.23	$25.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.56 / $17.34	Facility		$11.47	$11.56	$17.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $35.64 / $92.26	Professional		$17.10	$35.64	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $100.00	Facility		$28.90	$28.90	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $8.49 / $12.55	Professional		$7.66	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $31.42	Professional		$30.77	$30.77	$31.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $31.42 / $78.90	Professional		$31.42	$31.42	$78.90
United Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.34 / $17.34	Facility		$17.34	$17.34	$17.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.56 / $31.88	Professional		$7.80	$11.56	$31.88