Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $66.93 / $180.42	Facility		$28.43	$66.93	$180.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.63 / $11.71	Professional		$4.46	$4.63	$11.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $13.31 / $14.08	Facility		$11.01	$13.31	$14.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $21.92	Professional		$2.52	$2.52	$21.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $13.91 / $14.45	Facility		$3.42	$13.91	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Professional		$5.12	$5.12	$5.12
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 / $13.78 / $15.66	Professional		$5.78	$13.78	$15.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $6.14	Facility		$4.55	$4.55	$6.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $38.54 / $90.16	Facility		$4.55	$38.54	$90.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.12 / $23.31	Professional		$3.01	$5.12	$23.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $14.13 / $85.00	Professional		$2.56	$14.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $6.14	Facility		$4.55	$4.55	$6.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $12.67 / $65.89	Professional		$6.26	$12.67	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $10.24 / $100.00	Facility		$10.24	$10.24	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $3.43 / $4.97	Professional		$2.71	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $10.90	Professional		$5.51	$5.51	$10.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $27.96	Professional		$5.51	$5.51	$27.96
United Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Facility		$5.12	$5.12	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.19 / $14.18	Professional		$2.56	$4.19	$14.18