Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $142.30 / $229.60	Facility		$60.80	$142.30	$229.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.23 / $42.75	Professional		$8.52	$9.23	$42.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $26.47 / $28.00	Facility		$21.89	$26.47	$28.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $41.53	Professional		$5.01	$5.01	$41.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $27.64 / $28.73	Facility		$6.94	$27.64	$28.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $10.18	Professional		$10.18	$10.18	$10.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $27.41 / $31.15	Professional		$11.56	$27.41	$31.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $106.63 / $194.00	Facility		$9.06	$106.63	$194.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $10.18 / $38.72	Professional		$5.90	$10.18	$38.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $28.10 / $85.00	Professional		$5.09	$28.10	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $24.55 / $55.63	Professional		$12.44	$24.55	$55.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $74.73	Facility		$20.36	$20.36	$74.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.70 / $9.93	Professional		$5.40	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $17.41 / $21.68	Professional		$17.41	$17.41	$21.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $17.41 / $55.58	Professional		$17.41	$17.41	$55.58
United Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $8.14 / $10.18	Facility		$5.09	$8.14	$10.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.14 / $28.20	Professional		$5.09	$8.14	$28.20