Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $9.74 / $14.47	Facility		$7.79	$9.74	$14.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.17 / $19.48	Professional		$5.32	$6.17	$19.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $16.87 / $17.85	Facility		$13.95	$16.87	$17.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $26.47	Professional		$2.60	$2.60	$26.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $15.86 / $16.48	Facility		$4.33	$15.86	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.48 / $19.86	Professional		$7.43	$17.48	$19.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.76 / $7.79	Facility		$4.42	$4.76	$7.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $5.32 / $100.00	Facility		$4.42	$5.32	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.43 / $14.55	Professional		$3.62	$5.43	$14.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $9.74 / $85.00	Professional		$3.25	$9.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.76 / $7.79	Facility		$4.42	$4.76	$7.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $15.84 / $63.68	Professional		$7.60	$15.84	$63.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $50.00 / $100.00	Facility		$12.98	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.31 / $4.97	Professional		$3.27	$3.31	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $13.82	Professional		$5.09	$5.09	$13.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $35.44	Professional		$5.09	$5.09	$35.44
United Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $5.19 / $6.49	Facility		$3.25	$5.19	$6.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $5.65 / $14.55	Professional		$3.25	$5.65	$14.55