Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $98.88 / $203.84	Facility		$9.40	$98.88	$203.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $6.36 / $21.65	Professional		$4.92	$6.36	$21.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $14.56 / $15.40	Facility		$12.04	$14.56	$15.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $23.18	Professional		$2.72	$2.72	$23.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $14.95 / $15.54	Facility		$3.58	$14.95	$15.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.08 / $17.14	Professional		$6.20	$15.08	$17.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $6.72	Facility		$4.91	$4.91	$6.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $26.57 / $100.00	Facility		$4.91	$26.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.65 / $15.51	Professional		$3.25	$4.65	$15.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $10.79 / $85.00	Professional		$2.80	$10.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $6.72	Facility		$4.91	$4.91	$6.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $13.46 / $87.89	Professional		$6.73	$13.46	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $11.20 / $100.00	Facility		$11.20	$11.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.59 / $5.49	Professional		$2.97	$3.59	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $11.93 / $24.51	Professional		$11.93	$11.93	$24.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $24.51 / $30.58	Professional		$21.94	$24.51	$30.58
United Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Facility		$5.60	$5.60	$5.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.62 / $13.64	Professional		$3.25	$4.62	$13.64