Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $24.74 / $39.97	Facility		$21.52	$24.74	$39.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.19 / $107.58	Professional		$14.70	$18.19	$107.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $46.62 / $49.31	Facility		$38.54	$46.62	$49.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $73.14	Professional		$8.86	$8.86	$73.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $48.71 / $50.62	Facility		$14.05	$48.71	$50.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $17.93	Professional		$17.93	$17.93	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.28 / $54.86	Professional		$20.65	$48.28	$54.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $21.52	Facility		$14.88	$14.88	$21.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $16.14 / $100.00	Facility		$14.67	$16.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $17.93 / $46.49	Professional		$10.76	$17.93	$46.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $26.90 / $85.00	Professional		$8.88	$26.90	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $21.52	Facility		$14.88	$14.88	$21.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $43.38 / $60.50	Professional		$21.92	$43.38	$60.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $42.73 / $100.00	Facility		$35.86	$42.73	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $10.13	Professional		$9.50	$9.50	$10.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $19.93 / $38.18	Professional		$19.93	$19.93	$38.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $19.93 / $97.90	Professional		$19.93	$19.93	$97.90
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.28 / $46.49	Professional		$9.30	$13.28	$46.49