Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $50.30 / $142.44	Facility		$12.22	$50.30	$142.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $9.67 / $31.86	Professional		$8.35	$9.67	$31.86
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 $5.40 / $5.40 / $12.22	Facility		$5.40	$5.40	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $9.16 / $80.00	Facility		$5.40	$9.16	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.18 / $23.77	Professional		$5.92	$10.18	$23.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $15.89 / $85.00	Professional		$5.09	$15.89	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $5.40 / $12.22	Facility		$5.40	$5.40	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $24.55 / $34.10	Professional		$12.44	$24.55	$34.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $50.00 / $80.00	Facility		$20.36	$50.00	$80.00
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 $21.68 / $21.68 / $51.50	Professional		$21.68	$21.68	$51.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $51.50 / $55.58	Professional		$32.32	$51.50	$55.58
United Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $24.54	Facility		$9.05	$9.05	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.14 / $22.61	Professional		$5.90	$8.14	$22.61