Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $39.38 / $99.60	Facility		$12.28	$39.38	$99.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $8.00 / $10.39	Professional		$7.56	$8.00	$10.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $23.14 / $24.48	Facility		$19.14	$23.14	$24.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $36.82	Professional		$4.40	$4.40	$36.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $24.17 / $25.12	Facility		$6.79	$24.17	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $8.90 / $8.90	Professional		$8.90	$8.90	$8.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $23.97 / $27.24	Professional		$10.33	$23.97	$27.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $7.92 / $10.68	Facility		$7.92	$7.92	$10.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $8.90 / $100.00	Facility		$7.92	$8.90	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $8.90 / $26.10	Professional		$5.34	$8.90	$26.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $17.44 / $85.00	Professional		$4.45	$17.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $7.92 / $10.68	Facility		$7.92	$7.92	$10.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $22.18 / $83.44	Professional		$10.88	$22.18	$83.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $21.95 / $100.00	Facility		$17.80	$21.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.88 / $8.61	Professional		$4.72	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $31.83	Professional		$18.95	$18.95	$31.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $31.83 / $48.59	Professional		$31.83	$31.83	$48.59
United Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $7.91 / $21.46	Facility		$7.91	$7.91	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.46 / $24.39	Professional		$5.16	$7.46	$24.39