Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $48.60 / $105.28	Facility		$24.79	$48.60	$105.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.18 / $28.50	Professional		$4.01	$4.18	$28.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.38 / $13.09	Facility		$10.23	$12.38	$13.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $19.69	Professional		$2.27	$2.27	$19.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $12.48 / $12.98	Facility		$3.30	$12.48	$12.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.82 / $14.56	Professional		$5.78	$12.82	$14.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $5.71	Facility		$4.09	$4.09	$5.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $24.45 / $75.29	Facility		$4.09	$24.45	$75.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $4.76 / $17.52	Professional		$2.76	$4.76	$17.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $9.01 / $85.00	Professional		$2.38	$9.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $5.71	Facility		$4.09	$4.09	$5.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $11.88 / $39.53	Professional		$5.70	$11.88	$39.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $100.00	Facility		$9.52	$9.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.10 / $4.44	Professional		$2.52	$3.10	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.14	Professional		$6.08	$6.08	$10.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $25.99	Professional		$6.08	$6.08	$25.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.81 / $13.04	Professional		$2.38	$3.81	$13.04