Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $82.40 / $275.04	Facility		$13.22	$82.40	$275.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.66 / $21.24	Professional		$8.35	$8.66	$21.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $24.91 / $26.35	Facility		$20.60	$24.91	$26.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $39.63	Professional		$4.73	$4.73	$39.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $26.00 / $27.03	Facility		$6.26	$26.00	$27.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Professional		$9.58	$9.58	$9.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.80 / $29.31	Professional		$11.15	$25.80	$29.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $8.52 / $11.50	Facility		$8.52	$8.52	$11.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $11.50 / $102.49	Facility		$8.52	$11.50	$102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $9.58 / $28.08	Professional		$5.56	$9.58	$28.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $26.44 / $85.00	Professional		$4.79	$26.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $8.52 / $11.50	Facility		$8.52	$8.52	$11.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $23.76 / $47.68	Professional		$11.70	$23.76	$47.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $68.00	Facility		$19.16	$19.16	$68.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.37 / $9.41	Professional		$5.08	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $52.63	Professional		$20.39	$20.39	$52.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.31 / $52.63	Professional		$33.88	$52.31	$52.63
United Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Facility		$9.58	$9.58	$9.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.08 / $28.08	Professional		$4.79	$8.08	$28.08