Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $84.84 / $257.30	Facility		$35.42	$84.84	$257.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.62 / $33.03	Professional		$6.90	$7.62	$33.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $21.87 / $23.13	Facility		$18.07	$21.87	$23.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.15 / $34.79	Professional		$4.15	$4.15	$34.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $22.83 / $23.72	Facility		$6.41	$22.83	$23.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
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 $9.50 / $22.65 / $25.74	Professional		$9.50	$22.65	$25.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $7.48 / $10.09	Facility		$7.48	$7.48	$10.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $10.09 / $100.02	Facility		$7.48	$10.09	$100.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.41 / $27.53	Professional		$5.05	$8.41	$27.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $23.21 / $85.00	Professional		$4.21	$23.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $7.48 / $10.09	Facility		$7.48	$7.48	$10.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $20.59 / $74.04	Professional		$11.36	$20.59	$74.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $100.00	Facility		$16.82	$16.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.55 / $8.10	Professional		$4.46	$5.55	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $37.08	Professional		$17.91	$17.91	$37.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $37.08 / $45.92	Professional		$37.08	$37.08	$45.92
United Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.73	Facility		$6.34	$6.34	$6.73
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.86 / $20.80	Professional		$4.88	$6.86	$20.80