Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $5.97 / $8.88	Facility		$4.78	$5.97	$8.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.78 / $14.39	Professional		$3.26	$3.78	$14.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $10.35 / $10.95	Facility		$8.56	$10.35	$10.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $16.47	Professional		$1.81	$1.81	$16.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $9.94 / $10.34	Facility		$2.73	$9.94	$10.34
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 / $10.71 / $12.18	Professional		$4.54	$10.71	$12.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.78	Facility		$3.26	$3.26	$4.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.52 / $100.00	Facility		$3.26	$3.52	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.98 / $10.73	Professional		$2.31	$3.98	$10.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $7.18 / $85.00	Professional		$1.99	$7.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $4.78	Facility		$3.26	$3.26	$4.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $9.50 / $24.57	Professional		$4.55	$9.50	$24.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $50.00 / $100.00	Facility		$7.96	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.45 / $3.66	Professional		$2.11	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $8.48	Professional		$3.77	$3.77	$8.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $21.73	Professional		$3.77	$3.77	$21.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.18 / $10.73	Professional		$2.15	$3.18	$10.73