Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $34.10 / $74.14	Facility		$6.10	$34.10	$74.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $6.10	Professional		$4.13	$4.30	$6.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $13.21 / $13.97	Facility		$10.92	$13.21	$13.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $21.01	Professional		$2.34	$2.34	$21.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $12.88 / $13.39	Facility		$3.50	$12.88	$13.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.68 / $15.55	Professional		$5.78	$13.68	$15.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $6.10	Facility		$4.23	$4.23	$6.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.78 / $100.00	Facility		$4.23	$4.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.08 / $13.94	Professional		$2.95	$5.08	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $9.31 / $85.00	Professional		$2.54	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $6.10	Facility		$4.23	$4.23	$6.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.67 / $48.30	Professional		$6.08	$12.67	$48.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $100.00	Facility		$10.16	$10.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.10 / $4.70	Professional		$2.69	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $10.82 / $12.98	Professional		$10.82	$10.82	$12.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $14.76 / $27.74	Professional		$12.98	$14.76	$27.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.05 / $11.77	Professional		$2.54	$4.05	$11.77