Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $9.61 / $55.20	Facility		$5.17	$9.61	$55.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.17 / $27.94	Professional		$3.53	$5.17	$27.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $11.21 / $11.85	Facility		$9.27	$11.21	$11.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $17.82	Professional		$2.13	$2.13	$17.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $11.71 / $12.17	Facility		$2.87	$11.71	$12.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $11.61 / $13.19	Professional		$4.96	$11.61	$13.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.17	Facility		$3.83	$3.83	$5.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.88 / $80.00	Facility		$3.45	$3.88	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.30 / $11.94	Professional		$2.59	$4.30	$11.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $11.90 / $85.00	Professional		$2.16	$11.90	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.17	Facility		$3.83	$3.83	$5.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $10.30 / $14.30	Professional		$5.27	$10.30	$14.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $50.00 / $80.00	Facility		$8.61	$50.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.78 / $4.18	Professional		$2.27	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $4.43 / $9.18	Professional		$4.43	$4.43	$9.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $20.57 / $23.53	Professional		$4.43	$20.57	$23.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.63 / $11.94	Professional		$2.50	$3.63	$11.94