Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $42.51 / $82.82	Facility		$5.12	$42.51	$82.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $5.12 / $27.75	Professional		$3.84	$5.12	$27.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $11.10 / $11.74	Facility		$9.18	$11.10	$11.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $17.57	Professional		$3.16	$3.16	$17.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $11.61 / $12.07	Facility		$3.26	$11.61	$12.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
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 / $12.75 / $14.49	Professional		$4.96	$12.75	$14.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.12 / $100.00	Facility		$3.80	$5.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $5.12 / $13.95	Professional		$2.56	$5.12	$13.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $8.37 / $85.00	Professional		$2.14	$8.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $10.30 / $34.07	Professional		$5.23	$10.30	$34.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $100.00	Facility		$8.53	$8.53	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.78 / $4.18	Professional		$2.25	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $9.06 / $9.09	Professional		$9.06	$9.06	$9.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $17.03 / $23.31	Professional		$9.06	$17.03	$23.31
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $10.75	Professional		$2.56	$4.26	$10.75