Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $72.95 / $174.77	Facility		$12.22	$72.95	$174.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $9.07 / $12.22	Professional		$8.80	$9.07	$12.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $26.47 / $28.00	Facility		$21.89	$26.47	$28.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $41.53	Professional		$5.01	$5.01	$41.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $27.64 / $28.73	Facility		$8.17	$27.64	$28.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $10.18	Professional		$10.18	$10.18	$10.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $27.41 / $31.15	Professional		$11.56	$27.41	$31.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $10.18 / $143.18	Facility		$9.06	$10.18	$143.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.18 / $38.72	Professional		$4.79	$10.18	$38.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $15.27 / $85.00	Professional		$5.09	$15.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $24.55 / $63.79	Professional		$12.44	$24.55	$63.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $21.62 / $143.18	Facility		$20.36	$21.62	$143.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.70 / $9.93	Professional		$5.40	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $35.74	Professional		$21.68	$21.68	$35.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $35.74 / $55.58	Professional		$29.34	$35.74	$55.58
United Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $10.18 / $10.18	Facility		$10.18	$10.18	$10.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.14 / $22.61	Professional		$4.79	$8.14	$22.61