Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $118.44 / $229.24	Facility		$26.87	$118.44	$229.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $10.84 / $14.46	Professional		$9.99	$10.84	$14.46
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 $5.95 / $5.95 / $49.86	Professional		$5.95	$5.95	$49.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $32.72 / $34.01	Facility		$9.67	$32.72	$34.01
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 / $32.45 / $36.88	Professional		$13.63	$32.45	$36.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.46	Facility		$10.73	$10.73	$14.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $47.33 / $143.00	Facility		$10.73	$47.33	$143.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.05 / $33.38	Professional		$7.23	$12.05	$33.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $23.62 / $85.00	Professional		$6.03	$23.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $14.46	Facility		$10.73	$10.73	$14.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $29.30 / $62.90	Professional		$14.73	$29.30	$62.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $25.61 / $60.00	Facility		$24.10	$25.61	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $8.00 / $11.76	Professional		$6.39	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $35.33	Professional		$25.66	$25.66	$35.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $65.79	Professional		$35.33	$35.33	$65.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Facility		$12.05	$12.05	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $10.10 / $33.02	Professional		$6.99	$10.10	$33.02