Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $8.25 / $39.15	Facility		$6.60	$8.25	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.98 / $6.60	Professional		$4.24	$4.98	$6.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $14.30 / $15.13	Facility		$11.83	$14.30	$15.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $22.75	Professional		$2.72	$2.72	$22.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $14.93 / $15.52	Facility		$3.25	$14.93	$15.52
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 / $14.81 / $16.82	Professional		$6.20	$14.81	$16.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $6.60	Facility		$4.90	$4.90	$6.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.95 / $69.81	Facility		$4.51	$4.95	$69.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.50 / $15.24	Professional		$3.30	$5.50	$15.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $10.78 / $85.00	Professional		$2.75	$10.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $6.60	Facility		$4.90	$4.90	$6.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $13.46 / $23.44	Professional		$7.43	$13.46	$23.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $11.00 / $69.81	Facility		$11.00	$11.00	$69.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.59 / $5.49	Professional		$2.92	$3.59	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $7.47 / $11.71	Professional		$7.47	$7.47	$11.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $15.98 / $30.03	Professional		$7.47	$15.98	$30.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $4.40 / $5.50	Facility		$2.75	$4.40	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.54 / $15.07	Professional		$3.19	$4.54	$15.07