Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $94.50 / $252.48	Facility		$26.48	$94.50	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $9.42	Professional		$5.97	$7.04	$9.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $20.98 / $22.19	Facility		$17.35	$20.98	$22.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $33.38	Professional		$3.98	$3.98	$33.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $21.92 / $22.78	Facility		$6.15	$21.92	$22.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Professional		$8.07	$8.07	$8.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.74 / $24.70	Professional		$9.50	$21.74	$24.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.68	Facility		$7.19	$7.19	$9.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $68.89 / $113.98	Facility		$8.07	$68.89	$113.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.07 / $23.69	Professional		$4.84	$8.07	$23.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $28.47 / $85.00	Professional		$4.04	$28.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.68	Facility		$7.19	$7.19	$9.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $19.80 / $70.29	Professional		$9.86	$19.80	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $17.46 / $100.00	Facility		$16.14	$17.46	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.39 / $7.84	Professional		$4.28	$5.39	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $17.19	Professional		$13.80	$13.80	$17.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.45 / $44.06	Professional		$13.80	$23.45	$44.06
United Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $6.08 / $6.46	Facility		$6.08	$6.08	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.77 / $23.69	Professional		$4.68	$6.77	$23.69