Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $49.45 / $60.51	Facility		$6.57	$49.45	$60.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.50 / $21.15	Professional		$3.76	$5.50	$21.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $11.39 / $12.05	Facility		$9.42	$11.39	$12.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $17.87	Professional		$2.63	$2.63	$17.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $10.70 / $11.13	Facility		$2.92	$10.70	$11.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
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 $5.37 / $11.79 / $13.40	Professional		$5.37	$11.79	$13.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $5.26	Facility		$2.90	$3.13	$5.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.59 / $100.00	Facility		$2.90	$3.59	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.46 / $9.52	Professional		$2.63	$4.46	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $6.57 / $85.00	Professional		$2.19	$6.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $5.26	Facility		$2.90	$3.13	$5.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $11.09 / $43.91	Professional		$5.32	$11.09	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $50.00 / $100.00	Facility		$8.76	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.17 / $3.14	Professional		$2.12	$2.17	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $9.33	Professional		$8.50	$8.50	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $23.91	Professional		$8.50	$8.50	$23.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.38 / $9.52	Professional		$2.63	$4.38	$9.52