Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $28.91 / $31.46	Facility		$6.38	$28.91	$31.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.25 / $11.86	Professional		$3.76	$5.25	$11.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $13.83 / $14.63	Facility		$11.44	$13.83	$14.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $21.69	Professional		$3.19	$3.19	$21.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $13.00 / $13.51	Facility		$3.39	$13.00	$13.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.32 / $16.28	Professional		$5.78	$14.32	$16.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $6.38	Facility		$2.90	$3.13	$6.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $4.36 / $80.00	Facility		$2.90	$4.36	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $5.32 / $9.58	Professional		$3.19	$5.32	$9.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $7.98 / $85.00	Professional		$2.63	$7.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $6.38	Facility		$2.90	$3.13	$6.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.34 / $17.53	Professional		$6.08	$12.34	$17.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $80.00	Facility		$10.64	$10.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.17 / $3.09	Professional		$2.12	$2.17	$3.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $11.33	Professional		$8.50	$8.50	$11.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $29.05	Professional		$8.50	$8.50	$29.05
United Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $5.32 / $9.58	Professional		$3.19	$5.32	$9.58