Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $47.10 / $65.51	Facility		$6.94	$47.10	$65.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.69 / $6.94	Professional		$4.51	$4.69	$6.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $15.03 / $15.90	Facility		$12.43	$15.03	$15.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $23.58	Professional		$2.56	$2.56	$23.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $14.12 / $14.68	Facility		$3.94	$14.12	$14.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Professional		$5.78	$5.78	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.57 / $17.69	Professional		$6.61	$15.57	$17.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.62 / $6.94	Facility		$4.61	$4.62	$6.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $5.24 / $100.00	Facility		$4.61	$5.24	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.68 / $15.18	Professional		$3.35	$5.68	$15.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $10.14 / $85.00	Professional		$2.89	$10.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.62 / $6.94	Facility		$4.61	$4.62	$6.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $14.26 / $61.49	Professional		$6.84	$14.26	$61.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $11.56 / $100.00	Facility		$11.56	$11.56	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.43 / $4.97	Professional		$3.06	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.98	Professional		$12.31	$12.31	$12.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $24.20 / $31.56	Professional		$12.98	$24.20	$31.56
United Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Facility		$5.78	$5.78	$5.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.62 / $15.18	Professional		$3.00	$4.62	$15.18