Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $121.10 / $431.04	Facility		$19.22	$121.10	$431.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.52 / $10.34	Professional		$6.72	$7.52	$10.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $22.41 / $23.71	Facility		$18.53	$22.41	$23.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $35.67	Professional		$4.26	$4.26	$35.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $23.39 / $24.31	Facility		$6.57	$23.39	$24.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.21 / $26.38	Professional		$9.91	$23.21	$26.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $10.34	Facility		$7.67	$7.67	$10.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $86.70 / $157.63	Facility		$7.67	$86.70	$157.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.61 / $21.32	Professional		$5.17	$8.61	$21.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $16.88 / $85.00	Professional		$4.30	$16.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $10.34	Facility		$7.67	$7.67	$10.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $21.38 / $90.06	Professional		$10.53	$21.38	$90.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $100.00	Facility		$17.23	$17.23	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.72 / $8.36	Professional		$4.57	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $18.36 / $21.94	Professional		$18.36	$18.36	$21.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $34.35 / $47.07	Professional		$21.94	$34.35	$47.07
United Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.90 / $8.61	Facility		$4.30	$6.90	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.10 / $23.62	Professional		$5.00	$7.10	$23.62