Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $38.50 / $64.48	Facility		$5.29	$38.50	$64.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.14 / $4.00	Professional		$2.06	$2.14	$4.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $6.16 / $6.52	Facility		$5.09	$6.16	$6.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $9.77	Professional		$1.76	$1.76	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $6.43 / $6.68	Facility		$1.58	$6.43	$6.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.37 / $11.31	Facility		$6.31	$7.37	$11.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $7.07 / $8.03	Professional		$2.48	$7.07	$8.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.84	Facility		$2.11	$2.11	$2.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $11.49 / $49.00	Facility		$2.11	$11.49	$49.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.84 / $6.95	Professional		$1.42	$2.84	$6.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $8.34 / $85.00	Professional		$1.19	$8.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.84	Facility		$2.11	$2.11	$2.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $5.54 / $29.66	Professional		$2.89	$5.54	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $100.00	Facility		$4.74	$4.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.63 / $2.35	Professional		$1.26	$1.63	$2.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $7.21	Professional		$5.05	$5.05	$7.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.68 / $12.94	Professional		$7.21	$9.68	$12.94
United Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Facility		$2.37	$2.37	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.37 / $7.75	Professional		$1.42	$2.37	$7.75