Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $56.28 / $105.07	Facility		$21.70	$56.28	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.29 / $5.69	Professional		$3.51	$4.29	$5.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $12.32 / $13.04	Facility		$10.19	$12.32	$13.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $19.61	Professional		$2.34	$2.34	$19.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $12.88 / $13.39	Facility		$3.16	$12.88	$13.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Professional		$4.74	$4.74	$4.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.76 / $14.50	Professional		$5.78	$12.76	$14.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $5.69	Facility		$4.22	$4.22	$5.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $30.62 / $79.26	Facility		$4.22	$30.62	$79.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.74 / $17.05	Professional		$2.78	$4.74	$17.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $9.30 / $85.00	Professional		$2.37	$9.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $5.69	Facility		$4.22	$4.22	$5.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $11.88 / $61.49	Professional		$5.80	$11.88	$61.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $100.00	Facility		$9.48	$9.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.10 / $4.70	Professional		$2.50	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.09	Professional		$6.08	$6.08	$10.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $18.89 / $25.88	Professional		$6.08	$18.89	$25.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $3.79 / $4.74	Facility		$2.37	$3.79	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.00 / $13.92	Professional		$2.37	$4.00	$13.92