Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $43.25 / $14,482.00	Facility		$6.80	$43.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $19.61 / $65.00	Professional		$6.80	$19.61	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $23.50 / $70.73	Professional		$8.86	$23.50	$70.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $6.85 / $9.46	Facility		$6.84	$6.85	$9.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $24.55 / $29.36	Professional		$22.32	$24.55	$29.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $21.43 / $62.89	Professional		$19.27	$21.43	$62.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $21.33 / $65.25	Facility		$7.51	$21.33	$65.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $23.63 / $1,590.00	Facility		$7.89	$23.63	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $40.29 / $100.93	Professional		$20.53	$40.29	$100.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $31.53 / $65.00	Professional		$19.34	$31.53	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $21.33 / $65.25	Facility		$7.51	$21.33	$65.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $31.33 / $77.89	Professional		$16.59	$31.33	$77.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $75.00 / $75.00	Facility		$14.08	$75.00	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $65.20 / $148.66	Professional		$21.43	$65.20	$148.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $41.85 / $104.59	Professional		$17.03	$41.85	$104.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $35.72 / $94.57	Professional		$21.37	$35.72	$94.57