Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $85.20 / $146.63	Facility		$30.10	$85.20	$146.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.65 / $8.88	Professional		$4.53	$5.65	$8.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.82 / $17.79	Facility		$13.91	$16.82	$17.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $26.77	Professional		$3.20	$3.20	$26.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $17.57 / $18.26	Facility		$4.30	$17.57	$18.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Professional		$6.47	$6.47	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.42 / $19.80	Professional		$7.43	$17.42	$19.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $7.76	Facility		$5.77	$5.77	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $30.64 / $83.12	Facility		$5.77	$30.64	$83.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.47 / $21.19	Professional		$3.75	$6.47	$21.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $12.70 / $85.00	Professional		$3.24	$12.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $7.76	Facility		$5.77	$5.77	$7.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.84 / $71.37	Professional		$8.74	$15.84	$71.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $12.94 / $100.00	Facility		$12.94	$12.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.25 / $6.27	Professional		$3.43	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $13.78	Professional		$11.33	$11.33	$13.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $35.33	Professional		$11.33	$11.33	$35.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $6.47	Facility		$1.95	$1.95	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.33 / $17.73	Professional		$3.24	$5.33	$17.73