Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $62.40 / $79.76	Facility		$6.67	$62.40	$79.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $6.67	Professional		$4.13	$4.30	$6.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $14.46 / $15.29	Facility		$11.95	$14.46	$15.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $22.68	Professional		$2.34	$2.34	$22.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $13.59 / $14.12	Facility		$3.45	$13.59	$14.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Professional		$5.56	$5.56	$5.56
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 / $14.97 / $17.01	Professional		$6.20	$14.97	$17.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.45 / $6.67	Facility		$4.23	$4.45	$6.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.92 / $100.00	Facility		$4.23	$4.92	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.21 / $13.94	Professional		$3.22	$5.21	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $9.31 / $85.00	Professional		$2.78	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.45 / $6.67	Facility		$4.23	$4.45	$6.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.46 / $46.12	Professional		$6.46	$13.46	$46.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.12 / $100.00	Facility		$11.12	$11.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.10 / $4.70	Professional		$2.95	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $32.54	Professional		$11.84	$11.84	$32.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $32.54 / $32.54	Professional		$23.94	$32.54	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.01 / $11.77	Professional		$3.00	$4.01	$11.77