Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $8.73 / $12.98	Facility		$6.98	$8.73	$12.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.53 / $16.82	Professional		$4.76	$5.53	$16.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $15.13 / $16.01	Facility		$12.51	$15.13	$16.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $23.74	Professional		$2.33	$2.33	$23.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $14.23 / $14.78	Facility		$3.88	$14.23	$14.78
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 / $15.68 / $17.80	Professional		$6.61	$15.68	$17.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.12 / $6.98	Facility		$3.81	$4.12	$6.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.76 / $100.00	Facility		$3.81	$4.76	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.82 / $12.58	Professional		$3.38	$5.82	$12.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $8.73 / $85.00	Professional		$2.91	$8.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.12 / $6.98	Facility		$3.81	$4.12	$6.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $14.26 / $59.25	Professional		$7.86	$14.26	$59.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $50.00 / $100.00	Facility		$11.64	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.87 / $4.18	Professional		$2.78	$2.87	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $12.39	Professional		$10.92	$10.92	$12.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $20.32 / $31.78	Professional		$10.92	$20.32	$31.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.05 / $15.44	Professional		$3.49	$5.05	$15.44