Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $29.61 / $57.64	Facility		$4.80	$29.61	$57.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $4.18 / $17.00	Professional		$2.68	$4.18	$17.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $9.05 / $9.57	Facility		$7.48	$9.05	$9.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.12 / $14.20	Professional		$2.09	$2.12	$14.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $8.51 / $8.84	Facility		$2.04	$8.51	$8.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $11.58 / $17.77	Facility		$9.91	$11.58	$17.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $5.16 / $11.80	Professional		$2.61	$5.16	$11.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.46 / $4.18	Facility		$2.27	$2.46	$4.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.13 / $100.00	Facility		$2.27	$3.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.50 / $7.50	Professional		$2.09	$3.50	$7.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $5.22 / $85.00	Professional		$1.74	$5.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.46 / $4.18	Facility		$2.27	$2.46	$4.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $8.71 / $24.57	Professional		$4.18	$8.71	$24.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $6.96 / $100.00	Facility		$6.96	$6.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.70 / $2.61	Professional		$1.63	$1.70	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.41	Professional		$7.21	$7.21	$7.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.17 / $19.00	Professional		$7.21	$10.17	$19.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $2.78	Facility		$1.93	$1.93	$2.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.48 / $7.50	Professional		$2.09	$3.48	$7.50