Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $5.93 / $8.81	Facility		$4.74	$5.93	$8.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.61 / $6.68	Professional		$3.24	$4.61	$6.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $10.27 / $10.86	Facility		$8.49	$10.27	$10.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $16.35	Professional		$1.95	$1.95	$16.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $10.73 / $11.15	Facility		$2.63	$10.73	$11.15
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 / $10.64 / $12.09	Professional		$4.54	$10.64	$12.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.74	Facility		$3.51	$3.51	$4.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.56 / $100.00	Facility		$3.24	$3.56	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.95 / $10.94	Professional		$2.37	$3.95	$10.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $7.73 / $85.00	Professional		$1.98	$7.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.74	Facility		$3.51	$3.51	$4.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $9.50 / $63.68	Professional		$4.83	$9.50	$63.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $50.00 / $100.00	Facility		$7.90	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.61 / $3.92	Professional		$2.09	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $20.19	Professional		$8.41	$8.41	$20.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $20.19 / $21.57	Professional		$19.93	$20.19	$21.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.26 / $9.76	Professional		$2.29	$3.26	$9.76