Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $10.08 / $42.48	Facility		$5.42	$10.08	$42.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $5.22 / $6.20	Professional		$3.71	$5.22	$6.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $11.75 / $12.43	Facility		$9.72	$11.75	$12.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $18.70	Professional		$2.23	$2.23	$18.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12.27 / $12.75	Facility		$3.02	$12.27	$12.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.17 / $13.83	Professional		$5.37	$12.17	$13.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $5.42	Facility		$4.01	$4.01	$5.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $4.25 / $100.00	Facility		$3.71	$4.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.51 / $12.52	Professional		$2.65	$4.51	$12.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $8.85 / $85.00	Professional		$2.25	$8.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $5.42	Facility		$4.01	$4.01	$5.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $11.09 / $27.69	Professional		$5.52	$11.09	$27.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $50.00 / $100.00	Facility		$9.03	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.94 / $4.44	Professional		$2.40	$2.94	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $13.39	Professional		$9.63	$9.63	$13.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $24.68	Professional		$13.39	$13.39	$24.68
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Facility		$4.51	$4.51	$4.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.73 / $13.25	Professional		$2.25	$3.73	$13.25