Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $7.29 / $10.84	Facility		$5.83	$7.29	$10.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.57 / $5.83	Professional		$3.99	$4.57	$5.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $12.64 / $13.37	Facility		$10.45	$12.64	$13.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $20.11	Professional		$2.40	$2.40	$20.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $13.20 / $13.72	Facility		$3.21	$13.20	$13.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.09 / $14.88	Professional		$5.78	$13.09	$14.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $5.83	Facility		$4.33	$4.33	$5.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $4.37 / $80.00	Facility		$3.99	$4.37	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.86 / $13.46	Professional		$2.92	$4.86	$13.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $9.53 / $85.00	Professional		$2.43	$9.53	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $5.83	Facility		$4.33	$4.33	$5.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $11.88 / $16.60	Professional		$5.94	$11.88	$16.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $80.00	Facility		$9.72	$9.72	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.27 / $4.70	Professional		$2.58	$3.27	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $10.35	Professional		$8.24	$8.24	$10.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $24.52 / $26.54	Professional		$8.24	$24.52	$26.54
United Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $4.32 / $11.72	Facility		$4.32	$4.32	$11.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.23 / $14.26	Professional		$2.82	$4.23	$14.26