Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $45.63 / $98.12	Facility		$11.28	$45.63	$98.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.41 / $6.07	Professional		$4.24	$4.41	$6.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $13.16 / $13.92	Facility		$10.88	$13.16	$13.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $20.93	Professional		$2.40	$2.40	$20.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $13.20 / $13.72	Facility		$3.44	$13.20	$13.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
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 / $13.63 / $15.49	Professional		$5.78	$13.63	$15.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $6.07	Facility		$4.33	$4.33	$6.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $5.05 / $95.00	Facility		$4.33	$5.05	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $5.05 / $15.91	Professional		$2.93	$5.05	$15.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $13.97 / $85.00	Professional		$2.52	$13.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $6.07	Facility		$4.33	$4.33	$6.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.67 / $41.75	Professional		$6.08	$12.67	$41.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $100.00	Facility		$10.11	$10.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.27 / $4.70	Professional		$2.68	$3.27	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $12.98	Professional		$10.78	$10.78	$12.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $21.78 / $27.63	Professional		$12.98	$21.78	$27.63
United Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.05 / $13.87	Professional		$2.52	$4.05	$13.87