Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.42 / $12.51	Facility		$6.73	$8.42	$12.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.19 / $15.73	Professional		$4.59	$6.19	$15.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $14.59 / $15.43	Facility		$12.06	$14.59	$15.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $22.89	Professional		$2.56	$2.56	$22.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $14.05 / $14.61	Facility		$3.85	$14.05	$14.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.10 / $17.16	Professional		$6.20	$15.10	$17.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.73	Facility		$4.61	$4.61	$6.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.98 / $100.00	Facility		$4.59	$4.98	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $5.50 / $11.74	Professional		$3.25	$5.50	$11.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $14.12 / $85.00	Professional		$2.81	$14.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.73	Facility		$4.61	$4.61	$6.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.46 / $38.22	Professional		$6.46	$13.46	$38.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $50.00 / $100.00	Facility		$11.22	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.43 / $4.97	Professional		$2.97	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $11.95	Professional		$4.13	$4.13	$11.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $20.22 / $30.63	Professional		$4.13	$20.22	$30.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.49 / $11.74	Professional		$3.11	$4.49	$11.74