Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $67.45 / $119.31	Facility		$5.51	$67.45	$119.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $4.24 / $14.41	Professional		$3.27	$4.24	$14.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $10.40 / $11.00	Facility		$8.60	$10.40	$11.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $16.59	Professional		$1.81	$1.81	$16.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $9.94 / $10.34	Facility		$2.74	$9.94	$10.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $10.77 / $12.24	Professional		$4.54	$10.77	$12.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.80	Facility		$3.26	$3.26	$4.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.80 / $80.00	Facility		$3.26	$4.80	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.00 / $10.75	Professional		$2.40	$4.00	$10.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.18 / $85.00	Professional		$2.00	$7.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.80	Facility		$3.26	$3.26	$4.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $9.50 / $13.20	Professional		$4.55	$9.50	$13.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $80.00	Facility		$8.00	$8.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.45 / $3.66	Professional		$2.12	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.52	Professional		$8.44	$8.44	$8.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $18.50 / $21.84	Professional		$8.44	$18.50	$21.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.20 / $9.07	Professional		$2.20	$3.20	$9.07