Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $84.00 / $467.86	Facility		$18.20	$84.00	$467.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $11.88 / $23.00	Professional		$10.29	$11.88	$23.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $34.29 / $36.27	Facility		$28.36	$34.29	$36.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $54.57	Professional		$6.51	$6.51	$54.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $35.79 / $37.21	Facility		$10.59	$35.79	$37.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Professional		$13.19	$13.19	$13.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.52 / $40.36	Professional		$15.28	$35.52	$40.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.83	Facility		$11.75	$11.75	$15.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.19 / $103.51	Facility		$11.75	$13.19	$103.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $13.19 / $36.54	Professional		$7.74	$13.19	$36.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $25.85 / $85.00	Professional		$6.60	$25.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.83	Facility		$11.75	$11.75	$15.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $32.47 / $76.87	Professional		$16.12	$32.47	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $28.02 / $81.59	Facility		$26.38	$28.02	$81.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $8.66 / $12.81	Professional		$6.99	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $28.09	Professional		$26.79	$26.79	$28.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $52.57 / $72.02	Professional		$26.79	$52.57	$72.02
United Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $15.83 / $15.83	Facility		$15.83	$15.83	$15.83
United Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $11.06 / $36.54	Professional		$6.60	$11.06	$36.54