Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.43 / $93.06	Facility		$7.76	$14.43	$93.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.82 / $6.47	Professional		$4.84	$5.82	$6.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.82 / $17.79	Facility		$13.91	$16.82	$17.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $26.77	Professional		$3.19	$3.19	$26.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $17.55 / $18.23	Facility		$4.30	$17.55	$18.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Professional		$6.47	$6.47	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.42 / $19.80	Professional		$7.43	$17.42	$19.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $7.76	Facility		$5.76	$5.76	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.82 / $100.00	Facility		$5.31	$5.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.47 / $17.92	Professional		$3.88	$6.47	$17.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $12.69 / $85.00	Professional		$3.24	$12.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $7.76	Facility		$5.76	$5.76	$7.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.84 / $62.87	Professional		$8.74	$15.84	$62.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $12.94 / $100.00	Facility		$12.94	$12.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.25 / $6.27	Professional		$3.43	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $13.78	Professional		$8.76	$8.76	$13.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $30.66 / $35.33	Professional		$8.76	$30.66	$35.33
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $5.18 / $6.47	Facility		$3.24	$5.18	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.42 / $14.67	Professional		$3.75	$5.42	$14.67