Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $30.69 / $1,019.41	Facility		$9.66	$30.69	$1,019.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $8.55 / $21.00	Professional		$3.64	$8.55	$21.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $10.00 / $16.00	Facility		$8.00	$10.00	$16.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.14 / $10.00	Professional		$2.14	$3.14	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $11.72 / $22.02	Facility		$8.25	$11.72	$22.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.09 / $18.11	Professional		$11.72	$16.09	$18.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $4.21 / $6.79	Facility		$3.60	$4.21	$6.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $7.68 / $8.73	Professional		$1.55	$7.68	$8.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $9.66 / $29.77	Facility		$3.86	$9.66	$29.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $14.53 / $45.82	Facility		$4.82	$14.53	$45.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $3.00 / $14.98	Professional		$1.64	$3.00	$14.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $9.66 / $29.77	Facility		$3.86	$9.66	$29.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $22.09 / $31.80	Professional		$9.06	$22.09	$31.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $38.70 / $66.31	Professional		$8.60	$38.70	$66.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $23.26 / $23.26	Professional		$13.42	$23.26	$23.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $3.00 / $8.51	Professional		$1.64	$3.00	$8.51