Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $6.02 / $8.94	Facility		$4.80	$6.02	$8.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.81 / $5.50	Professional		$2.72	$3.81	$5.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.43 / $11.03	Facility		$8.61	$10.43	$11.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $16.36	Professional		$2.41	$2.41	$16.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $9.80 / $10.19	Facility		$2.52	$9.80	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $11.97 / $13.60	Professional		$4.54	$11.97	$13.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.27 / $4.80	Facility		$2.10	$2.27	$4.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $3.29 / $70.00	Facility		$2.10	$3.29	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.01 / $7.22	Professional		$2.41	$4.01	$7.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $6.02 / $85.00	Professional		$2.00	$6.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.27 / $4.80	Facility		$2.10	$2.27	$4.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $9.50 / $32.94	Professional		$4.55	$9.50	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $50.00 / $70.00	Facility		$8.02	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.63 / $2.35	Professional		$1.57	$1.63	$2.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $8.53	Professional		$2.43	$2.43	$8.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $9.42 / $21.89	Professional		$2.43	$9.42	$21.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.01 / $10.61	Professional		$2.41	$4.01	$10.61