Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $33.04 / $59.30	Facility		$4.94	$33.04	$59.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.25 / $4.30	Professional		$3.12	$3.25	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $9.31 / $9.85	Facility		$7.70	$9.31	$9.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $14.74	Professional		$1.77	$1.77	$14.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $9.73 / $10.11	Facility		$1.97	$9.73	$10.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Professional		$3.58	$3.58	$3.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $11.58 / $17.77	Facility		$9.91	$11.58	$17.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $10.68 / $12.14	Professional		$4.13	$10.68	$12.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $4.30	Facility		$3.19	$3.19	$4.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.61 / $68.63	Facility		$3.19	$3.61	$68.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $4.30 / $10.50	Professional		$2.15	$4.30	$10.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $7.01 / $85.00	Professional		$1.79	$7.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $4.30	Facility		$3.19	$3.19	$4.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $8.71 / $70.29	Professional		$4.38	$8.71	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $7.16 / $100.00	Facility		$7.16	$7.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.29 / $3.40	Professional		$1.90	$2.29	$3.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $7.62	Professional		$6.80	$6.80	$7.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $16.97 / $19.55	Professional		$6.80	$16.97	$19.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $2.86 / $3.58	Facility		$1.79	$2.86	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.58 / $10.50	Professional		$2.15	$3.58	$10.50