Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $106.22 / $191.58	Facility		$49.28	$106.22	$191.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.92 / $40.85	Professional		$5.44	$6.92	$40.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $20.20 / $21.37	Facility		$16.71	$20.20	$21.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $32.15	Professional		$5.75	$5.75	$32.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $21.09 / $21.92	Facility		$5.18	$21.09	$21.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.92 / $23.78	Professional		$9.09	$20.92	$23.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.22 / $9.32	Facility		$6.19	$6.22	$9.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $85.71 / $169.63	Facility		$19.18	$85.71	$169.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.77 / $44.93	Professional		$4.55	$7.77	$44.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $15.25 / $85.00	Professional		$3.89	$15.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.22 / $9.32	Facility		$6.19	$6.22	$9.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $19.01 / $76.87	Professional		$9.49	$19.01	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $100.00	Facility		$15.54	$15.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.05 / $7.58	Professional		$4.12	$5.05	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $10.56 / $16.55	Professional		$10.56	$10.56	$16.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $22.58 / $42.42	Professional		$10.56	$22.58	$42.42
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $7.77	Facility		$2.63	$2.63	$7.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.41 / $22.81	Professional		$3.89	$6.41	$22.81