Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $77.06 / $130.50	Facility		$25.20	$77.06	$130.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.91 / $7.96	Professional		$5.56	$5.91	$7.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $17.23 / $18.23	Facility		$14.25	$17.23	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.27 / $27.44	Professional		$3.27	$3.27	$27.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $17.98 / $18.69	Facility		$5.05	$17.98	$18.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Professional		$6.63	$6.63	$6.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.85 / $20.29	Professional		$7.43	$17.85	$20.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $7.96	Facility		$5.91	$5.91	$7.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $31.12 / $100.00	Facility		$5.91	$31.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.63 / $19.45	Professional		$3.98	$6.63	$19.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $9.94 / $85.00	Professional		$3.32	$9.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $7.96	Facility		$5.91	$5.91	$7.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $15.84 / $53.35	Professional		$8.10	$15.84	$53.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $100.00	Facility		$13.26	$13.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.41 / $6.53	Professional		$3.51	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $51.50	Professional		$14.12	$14.12	$51.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $36.20 / $51.50	Professional		$26.42	$36.20	$51.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $15.97	Facility		$5.89	$5.89	$15.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.60 / $19.45	Professional		$3.85	$5.60	$19.45