Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $33.11 / $87.56	Facility		$5.50	$33.11	$87.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.64 / $5.47	Professional		$3.49	$3.64	$5.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $10.37 / $10.97	Facility		$8.58	$10.37	$10.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $16.51	Professional		$1.97	$1.97	$16.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $10.85 / $11.28	Facility		$2.66	$10.85	$11.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Professional		$3.99	$3.99	$3.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $10.75 / $12.21	Professional		$4.54	$10.75	$12.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $4.79	Facility		$3.57	$3.57	$4.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $5.38 / $64.40	Facility		$3.57	$5.38	$64.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.99 / $11.74	Professional		$2.39	$3.99	$11.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.84 / $85.00	Professional		$2.00	$7.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $4.79	Facility		$3.57	$3.57	$4.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $9.50 / $79.06	Professional		$4.88	$9.50	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $7.98 / $100.00	Facility		$7.98	$7.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.61 / $3.92	Professional		$2.11	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.96	Professional		$8.50	$8.50	$8.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.60 / $21.79	Professional		$8.96	$11.60	$21.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.47 / $14.36	Professional		$2.31	$3.47	$14.36