Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $6.74 / $10.01	Facility		$5.39	$6.74	$10.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.26 / $7.69	Professional		$3.68	$4.26	$7.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $11.67 / $12.35	Facility		$9.65	$11.67	$12.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $1.84 / $17.96	Professional		$1.84	$1.84	$17.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $10.98 / $11.40	Facility		$3.01	$10.98	$11.40
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 / $12.09 / $13.74	Professional		$5.37	$12.09	$13.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.59 / $5.39	Facility		$3.32	$3.59	$5.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.68 / $100.00	Facility		$3.32	$3.68	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $3.59 / $8.27	Professional		$1.64	$3.59	$8.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $6.90 / $85.00	Professional		$2.25	$6.90	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.59 / $5.39	Facility		$3.32	$3.59	$5.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $11.09 / $43.91	Professional		$5.32	$11.09	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $100.00	Facility		$8.98	$8.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.45 / $3.66	Professional		$2.38	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $9.56	Professional		$2.00	$2.00	$9.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $13.05 / $24.52	Professional		$2.00	$13.05	$24.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.69 / $8.27	Professional		$1.65	$2.69	$8.27