Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $83.17 / $263.97	Facility		$20.76	$83.17	$263.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $12.32 / $19.00	Professional		$10.66	$12.32	$19.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $35.97 / $38.06	Facility		$29.76	$35.97	$38.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $57.27	Professional		$6.83	$6.83	$57.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $37.57 / $39.04	Facility		$9.44	$37.57	$39.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $13.84 / $13.84	Professional		$13.84	$13.84	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.27 / $42.35	Professional		$16.11	$37.27	$42.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $16.61	Facility		$12.32	$12.32	$16.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $13.84 / $212.16	Facility		$12.32	$13.84	$212.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.84 / $40.57	Professional		$8.02	$13.84	$40.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $27.11 / $85.00	Professional		$6.92	$27.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $16.61	Facility		$12.32	$12.32	$16.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $34.06 / $274.52	Professional		$16.91	$34.06	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $212.16	Facility		$27.68	$27.68	$212.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $9.15 / $13.59	Professional		$7.34	$9.15	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $29.47 / $133.90	Professional		$29.47	$29.47	$133.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $75.56 / $133.90	Professional		$55.16	$75.56	$133.90
United Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $16.61 / $16.61	Facility		$16.61	$16.61	$16.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.41 / $37.93	Professional		$6.92	$11.41	$37.93