Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $33.36 / $61.38	Facility		$8.47	$33.36	$61.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.43 / $18.55	Professional		$2.98	$3.43	$18.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $9.88 / $10.45	Facility		$8.17	$9.88	$10.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $15.56	Professional		$1.70	$1.70	$15.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $9.34 / $9.69	Facility		$2.60	$9.34	$9.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
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 / $10.23 / $11.63	Professional		$4.54	$10.23	$11.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $4.55	Facility		$3.07	$3.07	$4.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $12.01 / $80.64	Facility		$3.07	$12.01	$80.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.80 / $10.10	Professional		$2.20	$3.80	$10.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $6.74 / $85.00	Professional		$1.90	$6.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $4.55	Facility		$3.07	$3.07	$4.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $9.50 / $43.91	Professional		$4.55	$9.50	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $7.60 / $100.00	Facility		$7.60	$7.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.29 / $3.40	Professional		$2.00	$2.29	$3.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $12.57	Professional		$8.09	$8.09	$12.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $20.75	Professional		$12.57	$12.57	$20.75
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.04 / $10.10	Professional		$2.00	$3.04	$10.10