Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $53.95 / $87.15	Facility		$6.53	$53.95	$87.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.88 / $5.68	Professional		$3.74	$3.88	$5.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $12.30 / $13.01	Facility		$10.17	$12.30	$13.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $19.45	Professional		$2.13	$2.13	$19.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $11.71 / $12.17	Facility		$3.23	$11.71	$12.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $4.73	Professional		$4.73	$4.73	$4.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.74 / $14.48	Professional		$5.78	$12.74	$14.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.68	Facility		$3.83	$3.83	$5.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $4.26 / $100.00	Facility		$3.83	$4.26	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $4.73 / $12.62	Professional		$2.74	$4.73	$12.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $8.42 / $85.00	Professional		$2.37	$8.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.68	Facility		$3.83	$3.83	$5.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $11.88 / $39.53	Professional		$5.70	$11.88	$39.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $9.46 / $100.00	Facility		$9.46	$9.46	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.78 / $4.18	Professional		$2.50	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $12.98	Professional		$10.07	$10.07	$12.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $12.98 / $25.83	Professional		$12.98	$12.98	$25.83
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.78 / $12.62	Professional		$2.37	$3.78	$12.62