Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $67.20 / $109.76	Facility		$12.00	$67.20	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.28 / $4.40	Professional		$3.15	$3.28	$4.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $9.53 / $10.09	Facility		$7.89	$9.53	$10.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $15.18	Professional		$1.81	$1.81	$15.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $9.94 / $10.34	Facility		$2.45	$9.94	$10.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $3.67	Professional		$3.67	$3.67	$3.67
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 / $9.88 / $11.23	Professional		$4.13	$9.88	$11.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.40	Facility		$3.26	$3.26	$4.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $31.15 / $68.98	Facility		$3.26	$31.15	$68.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.67 / $13.21	Professional		$2.20	$3.67	$13.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $7.18 / $85.00	Professional		$1.84	$7.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.40	Facility		$3.26	$3.26	$4.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.71 / $12.10	Professional		$4.48	$8.71	$12.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $7.34 / $80.00	Facility		$7.34	$7.34	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.45 / $3.66	Professional		$1.95	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $18.80	Professional		$7.82	$7.82	$18.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.80 / $20.04	Professional		$18.50	$18.80	$20.04
United Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $8.83	Facility		$3.26	$3.26	$8.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $3.07 / $10.75	Professional		$1.84	$3.07	$10.75