Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $65.28 / $130.83	Facility		$11.51	$65.28	$130.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.67 / $7.08	Professional		$4.49	$4.67	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $13.42 / $14.19	Facility		$11.09	$13.42	$14.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $21.34	Professional		$2.54	$2.54	$21.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $14.00 / $14.55	Facility		$3.44	$14.00	$14.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Professional		$5.16	$5.16	$5.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.89 / $15.79	Professional		$5.78	$13.89	$15.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $6.19	Facility		$4.59	$4.59	$6.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $24.44 / $65.17	Facility		$4.59	$24.44	$65.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.16 / $16.89	Professional		$3.02	$5.16	$16.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $14.24 / $85.00	Professional		$2.58	$14.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $6.19	Facility		$4.59	$4.59	$6.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $12.67 / $49.41	Professional		$6.30	$12.67	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $10.32 / $100.00	Facility		$10.32	$10.32	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.43 / $4.97	Professional		$2.73	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.99	Professional		$6.08	$6.08	$10.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $20.58 / $28.17	Professional		$6.08	$20.58	$28.17
United Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $12.43	Facility		$4.58	$4.58	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.36 / $14.29	Professional		$2.58	$4.36	$14.29