Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $85.03 / $121.92	Facility		$39.35	$85.03	$121.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.96 / $9.19	Professional		$5.03	$5.96	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $17.42 / $18.43	Facility		$14.41	$17.42	$18.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.08 / $27.72	Professional		$3.31	$4.08	$27.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $18.18 / $18.89	Facility		$4.57	$18.18	$18.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
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 $7.85 / $18.04 / $20.50	Professional		$7.85	$18.04	$20.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $8.03	Facility		$5.97	$5.97	$8.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $67.20 / $118.92	Facility		$6.85	$67.20	$118.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $6.70 / $25.50	Professional		$3.93	$6.70	$25.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $13.13 / $85.00	Professional		$3.35	$13.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $8.03	Facility		$5.97	$5.97	$8.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $16.63 / $59.25	Professional		$8.18	$16.63	$59.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $100.00	Facility		$13.40	$13.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.41 / $6.53	Professional		$3.55	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $14.27	Professional		$9.27	$9.27	$14.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $19.47 / $36.58	Professional		$9.27	$19.47	$36.58
United Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $16.14	Facility		$5.95	$5.95	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.83 / $25.50	Professional		$3.89	$5.83	$25.50