Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $38.22 / $46.80	Facility		$4.12	$38.22	$46.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.12 / $4.12	Professional		$2.81	$3.12	$4.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $8.92 / $9.43	Facility		$7.37	$8.92	$9.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $14.19	Professional		$1.70	$1.70	$14.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $9.34 / $9.69	Facility		$2.29	$9.34	$9.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $16.14	Facility		$9.01	$10.53	$16.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $9.24 / $10.50	Professional		$4.13	$9.24	$10.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $4.12	Facility		$3.07	$3.07	$4.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $4.12 / $47.00	Facility		$3.07	$4.12	$47.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.43 / $9.50	Professional		$2.02	$3.43	$9.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $6.74 / $85.00	Professional		$1.72	$6.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $4.12	Facility		$3.07	$3.07	$4.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $8.71 / $29.66	Professional		$4.20	$8.71	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $50.00 / $60.00	Facility		$6.86	$50.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.29 / $3.40	Professional		$1.82	$2.29	$3.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $18.54	Professional		$7.30	$7.30	$18.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $18.54 / $18.73	Professional		$12.10	$18.54	$18.73
United Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Facility		$3.43	$3.43	$3.43
United Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.90 / $8.52	Professional		$1.72	$2.90	$8.52