Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $59.92 / $108.26	Facility		$18.05	$59.92	$108.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.83 / $6.21	Professional		$2.35	$2.83	$6.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $8.24 / $8.72	Facility		$6.82	$8.24	$8.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $13.02	Professional		$2.35	$2.35	$13.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $8.60 / $8.94	Facility		$1.87	$8.60	$8.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Professional		$3.17	$3.17	$3.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $16.14	Facility		$9.01	$10.53	$16.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $9.46 / $10.75	Professional		$3.72	$9.46	$10.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $3.80	Facility		$2.82	$2.82	$3.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $40.90 / $95.95	Facility		$3.80	$40.90	$95.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.80 / $25.18	Professional		$1.90	$3.80	$25.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $6.52 / $85.00	Professional		$1.57	$6.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $3.80	Facility		$2.82	$2.82	$3.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $7.92 / $19.77	Professional		$3.87	$7.92	$19.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $60.00	Facility		$6.34	$6.34	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.12 / $3.14	Professional		$1.68	$2.12	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $10.30	Professional		$6.75	$6.75	$10.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.64 / $17.30	Professional		$10.30	$12.64	$17.30
United Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Facility		$3.17	$3.17	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.17 / $8.56	Professional		$1.90	$3.17	$8.56