Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $246.56 / $480.26	Facility		$14.51	$246.56	$480.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.78 / $20.68	Professional		$10.28	$10.78	$20.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $31.43 / $33.25	Facility		$25.99	$31.43	$33.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $49.32	Professional		$4.84	$4.84	$49.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.69 / $30.71	Facility		$12.09	$12.69	$30.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
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 / $37.00	Professional		$13.63	$22.33	$37.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.29 / $14.51	Facility		$6.29	$6.29	$14.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $12.09 / $141.22	Facility		$6.29	$12.09	$141.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $12.09 / $25.39	Professional		$7.01	$12.09	$25.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $17.72 / $85.00	Professional		$5.98	$17.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.29 / $14.51	Facility		$6.29	$6.29	$14.51
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 $24.18 / $28.81 / $60.00	Facility		$24.18	$28.81	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.41	Professional		$5.89	$5.89	$6.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $25.75	Professional		$12.09	$12.09	$25.75
Security Health Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $72.90 / $83.30	Facility		$60.57	$72.90	$83.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $35.14 / $66.01	Professional		$12.09	$35.14	$66.01
United Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Facility		$14.51	$14.51	$14.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.67 / $25.39	Professional		$6.05	$9.67	$25.39