Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $6.30 / $9.36	Facility		$5.04	$6.30	$9.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.99 / $16.53	Professional		$3.44	$3.99	$16.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $10.92 / $11.55	Facility		$9.02	$10.92	$11.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $17.38	Professional		$2.06	$2.06	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $11.41 / $11.86	Facility		$2.80	$11.41	$11.86
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 / $11.31 / $12.85	Professional		$4.96	$11.31	$12.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $5.04	Facility		$3.74	$3.74	$5.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.78 / $100.00	Facility		$3.44	$3.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.20 / $11.63	Professional		$2.52	$4.20	$11.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $8.24 / $85.00	Professional		$2.10	$8.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $5.04	Facility		$3.74	$3.74	$5.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $10.30 / $39.53	Professional		$5.14	$10.30	$39.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $100.00	Facility		$8.40	$8.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.78 / $4.18	Professional		$2.23	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $8.94	Professional		$4.32	$4.32	$8.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $14.40 / $22.93	Professional		$4.32	$14.40	$22.93
United Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.55 / $11.51	Professional		$2.44	$3.55	$11.51