Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $9.35 / $13.89	Facility		$7.48	$9.35	$13.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.92 / $7.75	Professional		$5.11	$5.92	$7.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $16.20 / $17.13	Facility		$13.39	$16.20	$17.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $25.08	Professional		$3.74	$3.74	$25.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $15.22 / $15.82	Facility		$3.74	$15.22	$15.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $6.23	Professional		$6.23	$6.23	$6.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $20.01 / $30.69	Facility		$17.12	$20.01	$30.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $16.78 / $19.05	Professional		$7.02	$16.78	$19.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.41 / $7.48	Facility		$4.08	$4.41	$7.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $5.57 / $70.00	Facility		$4.08	$5.57	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.23 / $12.76	Professional		$3.54	$6.23	$12.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $9.35 / $85.00	Professional		$3.12	$9.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.41 / $7.48	Facility		$4.08	$4.41	$7.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $15.05 / $30.75	Professional		$7.22	$15.05	$30.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $12.46 / $70.00	Facility		$12.46	$12.46	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.06 / $4.44	Professional		$2.94	$3.06	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $13.27	Professional		$13.09	$13.09	$13.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $34.02	Professional		$13.09	$13.09	$34.02
United Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $6.23 / $6.23	Facility		$6.23	$6.23	$6.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.23 / $12.76	Professional		$3.54	$6.23	$12.76