Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $41.30 / $108.02	Facility		$5.52	$41.30	$108.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.51 / $5.52	Professional		$3.77	$4.51	$5.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $11.96 / $12.65	Facility		$9.89	$11.96	$12.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $19.69	Professional		$2.27	$2.27	$19.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $12.48 / $12.98	Facility		$3.07	$12.48	$12.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
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 / $12.39 / $14.08	Professional		$5.37	$12.39	$14.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $5.52	Facility		$4.09	$4.09	$5.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.59 / $100.00	Facility		$4.09	$4.59	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.59 / $12.74	Professional		$2.70	$4.59	$12.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $9.01 / $85.00	Professional		$2.29	$9.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $5.52	Facility		$4.09	$4.09	$5.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.09 / $49.41	Professional		$5.62	$11.09	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $100.00	Facility		$9.19	$9.19	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.10 / $4.44	Professional		$2.44	$3.10	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $9.80	Professional		$6.08	$6.08	$9.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $25.12	Professional		$6.08	$6.08	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.68 / $4.59	Facility		$2.29	$3.68	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.79 / $12.74	Professional		$2.29	$3.79	$12.74