Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $45.66 / $72.00	Facility		$7.38	$45.66	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.02 / $14.11	Professional		$1.93	$2.02	$14.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $5.85 / $6.19	Facility		$4.84	$5.85	$6.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $9.25	Professional		$1.66	$1.66	$9.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $6.09 / $6.32	Facility		$1.33	$6.09	$6.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.37 / $11.31	Facility		$6.31	$7.37	$11.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $6.71 / $7.63	Professional		$2.48	$6.71	$7.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.70	Facility		$2.00	$2.00	$2.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $33.72 / $55.58	Facility		$2.02	$33.72	$55.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $3.06 / $20.70	Professional		$1.35	$3.06	$20.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $4.40 / $85.00	Professional		$1.12	$4.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.70	Facility		$2.00	$2.00	$2.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.54 / $41.31	Professional		$3.06	$5.54	$41.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $60.00	Facility		$4.50	$4.50	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.47 / $2.09	Professional		$1.19	$1.47	$2.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.08	Professional		$4.79	$4.79	$6.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.54 / $12.29	Professional		$6.08	$6.54	$12.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.25 / $6.17	Professional		$1.35	$2.25	$6.17