Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $126.48 / $182.86	Facility		$16.62	$126.48	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.97 / $11.33	Professional		$9.66	$9.97	$11.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $31.33 / $33.14	Facility		$25.91	$31.33	$33.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $48.20	Professional		$4.61	$4.61	$48.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.65 / $30.61	Facility		$11.53	$12.65	$30.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $22.33 / $36.88	Professional		$13.63	$22.33	$36.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $14.46	Facility		$6.27	$6.27	$14.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $12.05 / $60.00	Facility		$6.27	$12.05	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.53 / $24.21	Professional		$6.92	$11.53	$24.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $18.07 / $85.00	Professional		$5.71	$18.07	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $14.46	Facility		$6.27	$6.27	$14.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $28.54 / $40.70	Professional		$15.90	$28.54	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $60.00	Facility		$24.10	$24.10	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.11	Professional		$5.89	$5.89	$6.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $24.55	Professional		$11.53	$11.53	$24.55
Security Health Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $69.53 / $79.44	Facility		$57.77	$69.53	$79.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $65.79	Professional		$11.53	$11.53	$65.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.64 / $12.05	Facility		$6.03	$9.64	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.22 / $24.21	Professional		$6.03	$9.22	$24.21