Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $26.89 / $712.60	Facility		$5.28	$26.89	$712.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.97 / $7.15	Professional		$3.82	$3.97	$7.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $11.44 / $12.10	Facility		$9.46	$11.44	$12.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $18.20	Professional		$2.18	$2.18	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $11.95 / $12.42	Facility		$3.53	$11.95	$12.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Professional		$4.40	$4.40	$4.40
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 $5.37 / $11.85 / $13.46	Professional		$5.37	$11.85	$13.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $3.92 / $5.28	Facility		$3.92	$3.92	$5.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $4.13 / $100.00	Facility		$3.61	$4.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.40 / $12.19	Professional		$2.64	$4.40	$12.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $12.14 / $85.00	Professional		$2.20	$12.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $3.92 / $5.28	Facility		$3.92	$3.92	$5.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $11.09 / $43.91	Professional		$5.38	$11.09	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $10.48 / $100.00	Facility		$8.80	$10.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.94 / $4.18	Professional		$2.33	$2.94	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $13.39	Professional		$9.36	$9.36	$13.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $20.87 / $24.02	Professional		$13.39	$20.87	$24.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $5.28	Facility		$5.28	$5.28	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.62 / $12.06	Professional		$2.59	$3.62	$12.06