Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $7.04 / $10.46	Facility		$5.63	$7.04	$10.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.46 / $16.16	Professional		$3.85	$4.46	$16.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $12.19 / $12.90	Facility		$10.08	$12.19	$12.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $19.13	Professional		$2.13	$2.13	$19.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $11.71 / $12.17	Facility		$3.21	$11.71	$12.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.63 / $14.35	Professional		$5.37	$12.63	$14.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.63	Facility		$3.83	$3.83	$5.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $4.13 / $100.00	Facility		$3.83	$4.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.51 / $12.03	Professional		$2.72	$4.51	$12.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $8.05 / $85.00	Professional		$2.35	$8.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $5.63	Facility		$3.83	$3.83	$5.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $11.09 / $39.53	Professional		$5.32	$11.09	$39.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $9.38 / $100.00	Facility		$9.38	$9.38	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.78 / $4.18	Professional		$2.49	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $9.99	Professional		$4.24	$4.24	$9.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $20.78 / $25.61	Professional		$4.24	$20.78	$25.61
United Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.52 / $10.15	Professional		$2.35	$3.52	$10.15