Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $11.31 / $82.72	Facility		$6.08	$11.31	$82.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.82 / $14.61	Professional		$4.16	$4.82	$14.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $13.18 / $13.94	Facility		$10.90	$13.18	$13.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $20.69	Professional		$2.02	$2.02	$20.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $12.39 / $12.88	Facility		$3.38	$12.39	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.65 / $15.51	Professional		$5.78	$13.65	$15.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.58 / $6.08	Facility		$3.31	$3.58	$6.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.59 / $100.00	Facility		$3.31	$4.59	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.09 / $10.90	Professional		$2.72	$4.09	$10.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $13.99 / $85.00	Professional		$2.54	$13.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.58 / $6.08	Facility		$3.31	$3.58	$6.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $12.67 / $38.65	Professional		$6.08	$12.67	$38.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $50.00 / $100.00	Facility		$10.14	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.49 / $3.66	Professional		$2.45	$2.49	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $10.80	Professional		$3.83	$3.83	$10.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $17.66 / $27.68	Professional		$3.83	$17.66	$27.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.05 / $9.44	Professional		$2.54	$4.05	$9.44