Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $177.02 / $423.30	Facility		$80.09	$177.02	$423.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.09 / $53.20	Professional		$8.57	$9.09	$53.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $32.42 / $34.29	Facility		$26.81	$32.42	$34.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $4.99 / $50.87	Professional		$4.99	$4.99	$50.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $30.47 / $31.67	Facility		$8.32	$30.47	$31.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Professional		$12.47	$12.47	$12.47
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 $14.46 / $33.58 / $38.15	Professional		$14.46	$33.58	$38.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $9.47 / $14.96	Facility		$8.77	$9.47	$14.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $129.91 / $254.57	Facility		$11.48	$129.91	$254.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $12.47 / $55.70	Professional		$7.48	$12.47	$55.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $19.29 / $85.00	Professional		$6.24	$19.29	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $9.47 / $14.96	Facility		$8.77	$9.47	$14.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $42.19	Professional		$14.82	$30.89	$42.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $91.84	Facility		$24.94	$24.94	$91.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.58 / $9.67	Professional		$6.53	$6.58	$9.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $26.56 / $52.63	Professional		$26.56	$26.56	$52.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $52.63 / $68.09	Professional		$41.14	$52.63	$68.09
United Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Facility		$12.47	$12.47	$12.47
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.31 / $33.07	Professional		$6.73	$8.31	$33.07