Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $105.57 / $437.58	Facility		$23.72	$105.57	$437.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $11.10 / $21.58	Professional		$10.70	$11.10	$21.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $31.15 / $32.95	Facility		$25.76	$31.15	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $51.32	Professional		$8.88	$8.88	$51.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $32.54 / $33.83	Facility		$8.93	$32.54	$33.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Professional		$11.98	$11.98	$11.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.26 / $36.65	Professional		$13.63	$32.26	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $14.38 / $127.71	Facility		$10.68	$14.38	$127.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.18	Professional		$7.19	$11.98	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.51 / $85.00	Professional		$5.99	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.38	Facility		$10.68	$10.68	$14.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $29.30 / $51.16	Professional		$14.65	$29.30	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $25.75 / $60.00	Facility		$23.96	$25.75	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.84 / $11.76	Professional		$6.35	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $25.51 / $125.66	Professional		$25.51	$25.51	$125.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $125.66 / $125.66	Professional		$51.43	$125.66	$125.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Facility		$11.98	$11.98	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.06 / $32.83	Professional		$6.95	$10.06	$32.83