Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $22.00 / $52.81	Facility		$3.05	$22.00	$52.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.29 / $15.93	Professional		$2.21	$2.29	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $6.60 / $6.99	Facility		$5.46	$6.60	$6.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $10.52	Professional		$1.25	$1.25	$10.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $6.89 / $7.16	Facility		$1.70	$6.89	$7.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $12.92	Facility		$7.21	$8.42	$12.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $6.84 / $7.78	Professional		$2.89	$6.84	$7.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $3.05	Facility		$2.25	$2.25	$3.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.54 / $100.00	Facility		$2.25	$2.54	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.54 / $7.46	Professional		$1.52	$2.54	$7.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $4.98 / $85.00	Professional		$1.27	$4.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $3.05	Facility		$2.25	$2.25	$3.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $6.34 / $30.75	Professional		$3.10	$6.34	$30.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $100.00	Facility		$5.08	$5.08	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.63 / $2.61	Professional		$1.35	$1.63	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $7.31	Professional		$5.41	$5.41	$7.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $13.87	Professional		$7.31	$7.31	$13.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.13 / $6.96	Professional		$1.47	$2.13	$6.96