Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $6.71 / $9.97	Facility		$5.36	$6.71	$9.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.25 / $12.78	Professional		$3.67	$4.25	$12.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $11.62 / $12.29	Facility		$9.61	$11.62	$12.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $18.23	Professional		$1.79	$1.79	$18.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $10.93 / $11.35	Facility		$2.97	$10.93	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.03 / $13.68	Professional		$5.37	$12.03	$13.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.12 / $5.36	Facility		$2.89	$3.12	$5.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.67 / $100.00	Facility		$2.89	$3.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.46 / $9.52	Professional		$2.59	$4.46	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $6.71 / $85.00	Professional		$2.24	$6.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.12 / $5.36	Facility		$2.89	$3.12	$5.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $11.09 / $36.22	Professional		$5.32	$11.09	$36.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $50.00 / $100.00	Facility		$8.94	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.17 / $3.14	Professional		$2.12	$2.17	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $9.52	Professional		$3.35	$3.35	$9.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $12.96 / $24.41	Professional		$3.35	$12.96	$24.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.58 / $9.52	Professional		$2.37	$3.58	$9.52