Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $10.50 / $15.61	Facility		$8.40	$10.50	$15.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $6.58 / $8.40	Professional		$2.75	$6.58	$8.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $18.20 / $19.25	Facility		$15.05	$18.20	$19.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $28.00	Professional		$4.20	$4.20	$28.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $17.11 / $17.78	Facility		$3.98	$17.11	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.28 / $23.74	Professional		$8.26	$12.28	$23.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.27 / $8.40	Facility		$2.11	$2.27	$8.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $5.74 / $60.00	Facility		$2.11	$5.74	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $7.00 / $12.60	Professional		$3.23	$7.00	$12.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $8.34 / $85.00	Professional		$3.23	$8.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.27 / $8.40	Facility		$2.11	$2.27	$8.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $17.42 / $32.94	Professional		$8.36	$17.42	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $60.00	Facility		$14.00	$14.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.63 / $2.35	Professional		$1.58	$1.63	$2.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $14.91	Professional		$2.44	$2.44	$14.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $38.22	Professional		$2.44	$2.44	$38.22
United Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $15.19	Facility		$5.60	$5.60	$15.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $6.95 / $12.60	Professional		$3.25	$6.95	$12.60