Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $8.96 / $62.30	Facility		$4.82	$8.96	$62.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.63 / $12.44	Professional		$3.52	$4.63	$12.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $10.45 / $11.06	Facility		$8.64	$10.45	$11.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $16.39	Professional		$2.41	$2.41	$16.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $9.82 / $10.21	Facility		$2.37	$9.82	$10.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $5.68 / $13.64	Professional		$3.14	$5.68	$13.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.05 / $4.82	Facility		$2.82	$3.05	$4.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.30 / $100.00	Facility		$2.82	$3.30	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.34 / $9.30	Professional		$2.41	$4.34	$9.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $6.03 / $85.00	Professional		$2.00	$6.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.05 / $4.82	Facility		$2.82	$3.05	$4.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $9.50 / $29.66	Professional		$4.55	$9.50	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $100.00	Facility		$8.03	$8.03	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $3.14	Professional		$2.12	$2.12	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $8.56 / $9.78	Professional		$8.56	$8.56	$9.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.68 / $21.95	Professional		$9.78	$11.68	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.01 / $8.23	Professional		$2.41	$4.01	$8.23