Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $75.51 / $167.04	Facility		$24.00	$75.51	$167.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.49 / $15.31	Professional		$9.44	$11.49	$15.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $33.18 / $35.09	Facility		$27.43	$33.18	$35.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $52.79	Professional		$6.30	$6.30	$52.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $34.65 / $36.02	Facility		$8.71	$34.65	$36.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Professional		$12.76	$12.76	$12.76
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 $14.46 / $34.36 / $39.04	Professional		$14.46	$34.36	$39.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $15.31	Facility		$11.37	$11.37	$15.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $58.54 / $100.00	Facility		$11.37	$58.54	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $12.76 / $37.46	Professional		$7.49	$12.76	$37.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $25.04 / $85.00	Professional		$6.38	$25.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $15.31	Facility		$11.37	$11.37	$15.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.89 / $109.82	Professional		$15.60	$30.89	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $25.52 / $61.32	Facility		$25.52	$25.52	$61.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.49 / $12.55	Professional		$6.76	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $27.17 / $36.31	Professional		$27.17	$27.17	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.20 / $69.67	Professional		$36.31	$43.20	$69.67
United Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Facility		$12.76	$12.76	$12.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.70 / $37.46	Professional		$6.38	$10.70	$37.46