Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $110.81 / $417.12	Facility		$21.15	$110.81	$417.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.68 / $19.98	Professional		$10.75	$12.68	$19.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $37.83 / $40.01	Facility		$31.28	$37.83	$40.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $60.20	Professional		$7.18	$7.18	$60.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $39.51 / $41.07	Facility		$11.68	$39.51	$41.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $14.55	Professional		$14.55	$14.55	$14.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.18 / $44.53	Professional		$16.93	$39.18	$44.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $17.46	Facility		$12.96	$12.96	$17.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $52.39 / $165.40	Facility		$12.96	$52.39	$165.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $14.55 / $40.29	Professional		$8.53	$14.55	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $40.15 / $85.00	Professional		$7.28	$40.15	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $17.46	Facility		$12.96	$12.96	$17.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $35.64 / $131.77	Professional		$17.79	$35.64	$131.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $34.69 / $100.00	Facility		$29.10	$34.69	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.64 / $14.11	Professional		$7.71	$9.64	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $63.65	Professional		$30.98	$30.98	$63.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $69.00 / $79.44	Professional		$58.01	$69.00	$79.44
United Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $14.55	Facility		$14.55	$14.55	$14.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.55 / $36.02	Professional		$8.44	$14.55	$36.02