Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $62.10 / $96.72	Facility		$14.40	$62.10	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.56 / $7.02	Professional		$3.22	$3.56	$7.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $11.15 / $11.80	Facility		$9.22	$11.15	$11.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $17.48	Professional		$2.91	$2.91	$17.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $10.68 / $11.10	Facility		$2.94	$10.68	$11.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
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 / $12.80 / $14.55	Professional		$4.96	$12.80	$14.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $5.15	Facility		$3.49	$3.49	$5.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $43.00 / $64.12	Facility		$3.78	$43.00	$64.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.39 / $27.48	Professional		$2.57	$5.39	$27.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $11.84 / $85.00	Professional		$2.15	$11.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $5.15	Facility		$3.49	$3.49	$5.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $10.30 / $47.68	Professional		$4.94	$10.30	$47.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $8.58 / $100.00	Facility		$8.58	$8.58	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.61 / $3.92	Professional		$2.27	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $9.14	Professional		$8.24	$8.24	$9.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $15.66 / $23.42	Professional		$8.24	$15.66	$23.42
United Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.29 / $11.76	Professional		$2.57	$4.29	$11.76