Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $10.88 / $111.38	Facility		$5.86	$10.88	$111.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.78 / $10.88	Professional		$4.00	$4.78	$10.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $12.69 / $13.42	Facility		$10.49	$12.69	$13.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $20.90	Professional		$2.41	$2.41	$20.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $13.27 / $13.79	Facility		$3.22	$13.27	$13.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.15 / $14.94	Professional		$5.78	$13.15	$14.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.34 / $5.86	Facility		$4.34	$4.34	$5.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.88 / $100.00	Facility		$4.34	$4.88	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $4.88 / $13.52	Professional		$2.87	$4.88	$13.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $9.59 / $85.00	Professional		$2.44	$9.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.34 / $5.86	Facility		$4.34	$4.34	$5.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $11.88 / $49.41	Professional		$5.97	$11.88	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $9.76 / $100.00	Facility		$9.76	$9.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.27 / $4.70	Professional		$2.59	$3.27	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.39	Professional		$6.08	$6.08	$10.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $21.78 / $26.64	Professional		$6.08	$21.78	$26.64
United Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $4.03 / $13.37	Professional		$2.44	$4.03	$13.37