Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $30.39 / $66.00	Facility		$5.84	$30.39	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.36 / $13.75	Professional		$3.64	$4.36	$13.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $11.00 / $11.63	Facility		$9.09	$11.00	$11.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $17.25	Professional		$2.54	$2.54	$17.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $10.34 / $10.74	Facility		$2.82	$10.34	$10.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
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 $4.96 / $11.40 / $12.95	Professional		$4.96	$11.40	$12.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $5.08	Facility		$2.90	$3.13	$5.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $4.23 / $80.00	Facility		$2.90	$4.23	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.46 / $9.52	Professional		$2.54	$4.46	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $6.35 / $85.00	Professional		$2.12	$6.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.13 / $5.08	Facility		$2.90	$3.13	$5.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $10.25 / $14.06	Professional		$4.94	$10.25	$14.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $50.00 / $80.00	Facility		$8.46	$50.00	$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 $9.01 / $9.01 / $15.26	Professional		$9.01	$9.01	$15.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $23.10	Professional		$15.26	$15.26	$23.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.23 / $9.52	Professional		$2.54	$4.23	$9.52