Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $8.78 / $13.07	Facility		$7.03	$8.78	$13.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.57 / $23.05	Professional		$4.80	$5.57	$23.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $15.24 / $16.12	Facility		$12.60	$15.24	$16.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $24.25	Professional		$2.90	$2.90	$24.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $15.91 / $16.54	Facility		$4.00	$15.91	$16.54
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 $6.61 / $15.79 / $17.94	Professional		$6.61	$15.79	$17.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $7.03	Facility		$5.22	$5.22	$7.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $5.27 / $100.00	Facility		$4.80	$5.27	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.86 / $16.23	Professional		$3.44	$5.86	$16.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $11.48 / $85.00	Professional		$2.93	$11.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $7.03	Facility		$5.22	$5.22	$7.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $14.26 / $61.49	Professional		$7.16	$14.26	$61.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $11.72 / $100.00	Facility		$11.72	$11.72	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.92 / $5.75	Professional		$3.11	$3.92	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $12.48	Professional		$7.36	$7.36	$12.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $32.00	Professional		$7.36	$7.36	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.84 / $14.51	Professional		$3.40	$4.84	$14.51