Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $13.49 / $83.20	Facility		$7.26	$13.49	$83.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $5.75 / $23.80	Professional		$4.96	$5.75	$23.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $15.73 / $16.64	Facility		$13.01	$15.73	$16.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $25.04	Professional		$2.99	$2.99	$25.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $16.42 / $17.07	Facility		$4.04	$16.42	$17.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $16.29 / $18.51	Professional		$7.02	$16.29	$18.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $7.26	Facility		$5.39	$5.39	$7.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.45 / $100.00	Facility		$4.96	$5.45	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.05 / $16.76	Professional		$3.63	$6.05	$16.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $12.48 / $85.00	Professional		$3.03	$12.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $7.26	Facility		$5.39	$5.39	$7.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $15.05 / $49.41	Professional		$7.39	$15.05	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $100.00	Facility		$12.10	$12.10	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.92 / $6.01	Professional		$3.21	$3.92	$6.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $12.88	Professional		$6.23	$6.23	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $33.03	Professional		$6.23	$6.23	$33.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $7.26 / $7.26	Facility		$7.26	$7.26	$7.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.99 / $15.01	Professional		$3.51	$4.99	$15.01