Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $56.70 / $81.88	Facility		$19.12	$56.70	$81.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.54 / $8.97	Professional		$3.41	$3.54	$8.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $10.22 / $10.81	Facility		$8.44	$10.22	$10.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $16.13	Professional		$1.94	$1.94	$16.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $10.68 / $11.10	Facility		$2.68	$10.68	$11.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $3.93	Professional		$3.93	$3.93	$3.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $11.73 / $13.33	Professional		$4.54	$11.73	$13.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.72	Facility		$3.49	$3.49	$4.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $30.10 / $63.47	Facility		$3.49	$30.10	$63.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.72 / $14.93	Professional		$2.36	$4.72	$14.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $7.69 / $85.00	Professional		$3.35	$7.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.72	Facility		$3.49	$3.49	$4.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.50 / $54.90	Professional		$4.80	$9.50	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $100.00	Facility		$7.86	$7.86	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.61 / $3.92	Professional		$2.08	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $8.36	Professional		$6.08	$6.08	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $21.46	Professional		$6.08	$6.08	$21.46
United Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $3.93 / $3.93	Facility		$3.93	$3.93	$3.93
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.93 / $10.61	Professional		$2.36	$3.93	$10.61