Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $77.55 / $115.20	Facility		$10.59	$77.55	$115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.22 / $6.52	Professional		$4.08	$4.22	$6.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $12.35 / $13.06	Facility		$10.21	$12.35	$13.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $19.53	Professional		$3.52	$3.52	$19.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $12.88 / $13.39	Facility		$3.17	$12.88	$13.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Professional		$4.75	$4.75	$4.75
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 / $14.18 / $16.11	Professional		$5.78	$14.18	$16.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $5.70	Facility		$4.23	$4.23	$5.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $9.50 / $100.00	Facility		$4.23	$9.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $5.70 / $13.94	Professional		$2.85	$5.70	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $9.31 / $85.00	Professional		$2.38	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $5.70	Facility		$4.23	$4.23	$5.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $11.88 / $74.67	Professional		$5.80	$11.88	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $9.50 / $100.00	Facility		$9.50	$9.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.10 / $4.70	Professional		$2.52	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.11	Professional		$6.08	$6.08	$10.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $13.80 / $25.94	Professional		$6.08	$13.80	$25.94
United Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Facility		$4.75	$4.75	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $5.23 / $13.94	Professional		$2.85	$5.23	$13.94