Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $61.11 / $99.75	Facility		$8.81	$61.11	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.58 / $12.22	Professional		$3.44	$3.58	$12.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $10.27 / $10.86	Facility		$8.49	$10.27	$10.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $16.92	Professional		$1.95	$1.95	$16.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $10.73 / $11.15	Facility		$2.64	$10.73	$11.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $10.64 / $12.09	Professional		$4.54	$10.64	$12.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.74	Facility		$3.51	$3.51	$4.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $19.01 / $59.41	Facility		$3.51	$19.01	$59.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.95 / $11.57	Professional		$2.31	$3.95	$11.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $7.73 / $85.00	Professional		$1.98	$7.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.74	Facility		$3.51	$3.51	$4.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $9.50 / $46.12	Professional		$4.83	$9.50	$46.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $100.00	Facility		$7.90	$7.90	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.61 / $3.92	Professional		$2.09	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $8.41	Professional		$6.08	$6.08	$8.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $19.93 / $21.57	Professional		$6.08	$19.93	$21.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.26 / $10.94	Professional		$2.00	$3.26	$10.94