Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $166.20 / $215.60	Facility		$14.90	$166.20	$215.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.88 / $67.72	Professional		$9.61	$11.88	$67.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $28.08 / $29.70	Facility		$23.22	$28.08	$29.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $44.68	Professional		$5.34	$5.34	$44.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $29.33 / $30.48	Facility		$8.24	$29.33	$30.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $29.08 / $33.04	Professional		$12.39	$29.08	$33.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $12.96	Facility		$9.63	$9.63	$12.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $10.80 / $100.00	Facility		$9.63	$10.80	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $10.80 / $29.92	Professional		$6.34	$10.80	$29.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $21.17 / $85.00	Professional		$5.40	$21.17	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $12.96	Facility		$9.63	$9.63	$12.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $26.14 / $76.87	Professional		$13.20	$26.14	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $100.00	Facility		$21.60	$21.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.19 / $10.45	Professional		$5.72	$7.19	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $45.32	Professional		$23.00	$23.00	$45.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $45.32 / $58.97	Professional		$45.32	$45.32	$58.97
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $9.13 / $31.71	Professional		$5.40	$9.13	$31.71