Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $53.20 / $84.69	Facility		$11.24	$53.20	$84.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $6.05 / $24.00	Professional		$3.77	$6.05	$24.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $13.10 / $13.86	Facility		$10.84	$13.10	$13.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $20.56	Professional		$3.02	$3.02	$20.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $12.32 / $12.80	Facility		$3.23	$12.32	$12.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Professional		$5.04	$5.04	$5.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $15.04 / $17.09	Professional		$5.78	$15.04	$17.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.05 / $6.05	Facility		$2.82	$3.05	$6.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $6.05 / $46.47	Facility		$2.82	$6.05	$46.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.04 / $9.30	Professional		$2.92	$5.04	$9.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $7.56 / $85.00	Professional		$2.52	$7.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.05 / $6.05	Facility		$2.82	$3.05	$6.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.67 / $21.96	Professional		$6.08	$12.67	$21.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $50.00 / $100.00	Facility		$10.08	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $3.14	Professional		$2.12	$2.12	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $10.73	Professional		$3.21	$3.21	$10.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $27.52	Professional		$3.21	$3.21	$27.52
United Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $10.94	Facility		$4.03	$4.03	$10.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.04 / $13.34	Professional		$2.92	$5.04	$13.34