Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $11.37 / $62.48	Facility		$6.12	$11.37	$62.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.62 / $6.12	Professional		$4.44	$4.62	$6.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $13.26 / $14.03	Facility		$10.97	$13.26	$14.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $21.10	Professional		$2.52	$2.52	$21.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $13.84 / $14.38	Facility		$2.99	$13.84	$14.38
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 / $13.73 / $15.60	Professional		$5.78	$13.73	$15.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $4.53 / $6.12	Facility		$4.53	$4.53	$6.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $4.79 / $100.00	Facility		$4.18	$4.79	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $5.09 / $14.13	Professional		$2.96	$5.09	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $9.98 / $85.00	Professional		$2.54	$9.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $4.53 / $6.12	Facility		$4.53	$4.53	$6.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $12.67 / $65.89	Professional		$6.23	$12.67	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $100.00	Facility		$10.19	$10.19	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.43 / $4.97	Professional		$2.70	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $10.86	Professional		$5.24	$5.24	$10.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $14.82 / $27.85	Professional		$5.24	$14.82	$27.85
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $4.19 / $13.98	Professional		$2.31	$4.19	$13.98