Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $84.01 / $133.99	Facility		$30.60	$84.01	$133.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.48 / $11.30	Professional		$3.66	$4.48	$11.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.87 / $13.61	Facility		$10.64	$12.87	$13.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $21.21	Professional		$3.67	$3.67	$21.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $13.44 / $13.97	Facility		$3.30	$13.44	$13.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.33 / $15.15	Professional		$5.78	$13.33	$15.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $4.41 / $5.94	Facility		$4.41	$4.41	$5.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $23.62 / $100.00	Facility		$4.41	$23.62	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.95 / $14.53	Professional		$2.91	$4.95	$14.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $13.66 / $85.00	Professional		$2.48	$13.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $4.41 / $5.94	Facility		$4.41	$4.41	$5.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $11.88 / $54.24	Professional		$6.05	$11.88	$54.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $100.00	Facility		$9.90	$9.90	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.27 / $4.97	Professional		$2.62	$3.27	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.54	Professional		$6.08	$6.08	$10.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $27.03	Professional		$6.08	$6.08	$27.03
United Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $4.08 / $13.57	Professional		$2.48	$4.08	$13.57