Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $266.08 / $874.00	Facility		$4.63	$266.08	$874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $18.91 / $119.00	Professional		$4.63	$18.91	$119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $54.46 / $185.92	Professional		$6.80	$54.46	$185.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $6.78 / $8.46	Facility		$5.42	$6.78	$8.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $63.26 / $111.99	Professional		$50.53	$63.26	$111.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.79 / $183.23 / $281.08	Facility		$156.79	$183.23	$281.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $50.59 / $105.25	Professional		$7.03	$50.59	$105.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $35.51 / $71.16	Facility		$4.72	$35.51	$71.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $44.86 / $119.50	Facility		$4.72	$44.86	$119.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $136.33 / $360.95	Professional		$58.33	$136.33	$360.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $70.00 / $135.59	Professional		$42.57	$70.00	$135.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $36.81 / $70.42	Facility		$4.72	$36.81	$70.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $55.00 / $174.11	Professional		$10.61	$55.00	$174.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $92.67 / $92.67	Facility		$7.57	$92.67	$92.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $205.83 / $360.95	Professional		$26.05	$205.83	$360.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $78.34 / $222.23	Professional		$10.15	$78.34	$222.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $109.06 / $204.49	Professional		$57.74	$109.06	$204.49