Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $26.08 / $166.00	Facility		$9.61	$26.08	$166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $28.56 / $29.04	Professional		$7.14	$28.56	$29.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $20.85 / $22.06	Facility		$17.23	$20.85	$22.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $32.71	Professional		$3.96	$3.96	$32.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $21.77 / $22.63	Facility		$5.12	$21.77	$22.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.59 / $24.54	Professional		$9.50	$21.59	$24.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $9.61	Facility		$7.14	$7.14	$9.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $7.72 / $271.14	Facility		$6.58	$7.72	$271.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $6.42 / $17.82	Professional		$3.46	$6.42	$17.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $12.03 / $85.00	Professional		$4.01	$12.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $9.61	Facility		$7.14	$7.14	$9.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $19.80 / $70.29	Professional		$9.80	$19.80	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $16.04 / $271.14	Facility		$16.04	$16.04	$271.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.23 / $7.84	Professional		$4.25	$5.23	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.07 / $78.52	Professional		$17.07	$17.07	$78.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $78.52 / $78.52	Professional		$21.18	$78.52	$78.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Facility		$8.02	$8.02	$8.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $6.42 / $26.26	Professional		$3.46	$6.42	$26.26