Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $64.45 / $269.31	Facility		$5.91	$64.45	$269.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.96 / $9.53	Professional		$3.34	$4.96	$9.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $11.13 / $11.77	Facility		$9.19	$11.13	$11.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $17.71	Professional		$2.10	$2.10	$17.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $11.56 / $12.01	Facility		$2.66	$11.56	$12.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $4.28	Professional		$4.28	$4.28	$4.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $11.53 / $13.10	Professional		$4.96	$11.53	$13.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $5.14	Facility		$3.79	$3.79	$5.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $5.14 / $100.00	Facility		$3.79	$5.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.28 / $11.86	Professional		$2.50	$4.28	$11.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $11.81 / $85.00	Professional		$2.14	$11.81	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $5.14	Facility		$3.79	$3.79	$5.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $10.30 / $34.72	Professional		$5.20	$10.30	$34.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $8.56 / $100.00	Facility		$8.56	$8.56	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.78 / $4.18	Professional		$2.27	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $9.11	Professional		$4.38	$4.38	$9.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $16.97 / $23.37	Professional		$4.38	$16.97	$23.37
United Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $10.26	Facility		$3.78	$3.78	$10.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.51 / $11.86	Professional		$2.14	$3.51	$11.86