Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $87.40 / $129.13	Facility		$32.40	$87.40	$129.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $5.24 / $7.21	Professional		$4.93	$5.24	$7.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $15.63 / $16.53	Facility		$12.92	$15.63	$16.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $2.97 / $24.86	Professional		$2.97	$2.97	$24.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $16.30 / $16.94	Facility		$4.09	$16.30	$16.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Professional		$6.01	$6.01	$6.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $16.18 / $18.39	Professional		$7.02	$16.18	$18.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $5.35 / $7.21	Facility		$5.35	$5.35	$7.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $60.77 / $100.00	Facility		$5.35	$60.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $6.01 / $21.64	Professional		$3.61	$6.01	$21.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $11.76 / $85.00	Professional		$3.01	$11.76	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $5.35 / $7.21	Facility		$5.35	$5.35	$7.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $15.05 / $49.41	Professional		$7.34	$15.05	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $100.00	Facility		$12.02	$12.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.92 / $5.75	Professional		$3.19	$3.92	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $12.80	Professional		$8.96	$8.96	$12.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $24.20 / $32.81	Professional		$8.96	$24.20	$32.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $4.80 / $6.01	Facility		$3.01	$4.80	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.00 / $14.85	Professional		$3.49	$5.00	$14.85