Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $39.07 / $124.08	Facility		$14.87	$39.07	$124.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.87 / $22.46	Professional		$10.73	$14.87	$22.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $32.21 / $34.07	Facility		$26.64	$32.21	$34.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $49.56	Professional		$6.12	$6.12	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $33.63 / $34.95	Facility		$8.98	$33.63	$34.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Professional		$12.39	$12.39	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.36 / $37.90	Professional		$14.04	$33.36	$37.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $14.87	Facility		$11.04	$11.04	$14.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $12.39 / $112.08	Facility		$11.04	$12.39	$112.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.11 / $47.15	Professional		$4.87	$10.11	$47.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $20.50 / $85.00	Professional		$6.20	$20.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $14.87	Facility		$11.04	$11.04	$14.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.10 / $60.17	Professional		$15.14	$30.10	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $26.31 / $112.08	Facility		$24.78	$26.31	$112.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $8.17 / $12.02	Professional		$6.57	$8.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $26.39 / $98.99	Professional		$26.39	$26.39	$98.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $67.65 / $98.99	Professional		$29.34	$67.65	$98.99
United Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Facility		$12.39	$12.39	$12.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.43 / $23.06	Professional		$5.00	$7.43	$23.06