Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $62.93 / $129.13	Facility		$6.00	$62.93	$129.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.75 / $19.22	Professional		$4.09	$4.75	$19.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $13.00 / $13.75	Facility		$10.75	$13.00	$13.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $20.69	Professional		$2.41	$2.41	$20.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $13.27 / $13.79	Facility		$3.39	$13.27	$13.79
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 / $13.46 / $15.30	Professional		$5.78	$13.46	$15.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $6.00	Facility		$4.36	$4.36	$6.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.50 / $100.00	Facility		$4.09	$4.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $5.00 / $13.85	Professional		$2.90	$5.00	$13.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $9.59 / $85.00	Professional		$2.50	$9.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $6.00	Facility		$4.36	$4.36	$6.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $11.88 / $53.78	Professional		$5.97	$11.88	$53.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $100.00	Facility		$10.00	$10.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.27 / $4.70	Professional		$2.65	$3.27	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.65	Professional		$6.08	$6.08	$10.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $24.64 / $27.30	Professional		$6.08	$24.64	$27.30
United Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $4.00 / $5.00	Facility		$2.50	$4.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.01 / $13.70	Professional		$2.50	$4.01	$13.70