Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $8.78 / $89.28	Facility		$4.73	$8.78	$89.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.74 / $15.50	Professional		$3.23	$3.74	$15.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $10.24 / $10.84	Facility		$8.47	$10.24	$10.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $16.30	Professional		$1.95	$1.95	$16.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $10.70 / $11.13	Facility		$2.63	$10.70	$11.13
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 / $10.62 / $12.06	Professional		$4.54	$10.62	$12.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.73	Facility		$3.51	$3.51	$4.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.55 / $60.00	Facility		$3.23	$3.55	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.94 / $10.91	Professional		$2.31	$3.94	$10.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $10.87 / $85.00	Professional		$1.97	$10.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $4.73	Facility		$3.51	$3.51	$4.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $9.50 / $21.56	Professional		$4.82	$9.50	$21.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $60.00	Facility		$7.88	$7.88	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.61 / $3.92	Professional		$2.09	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.39 / $30.69	Professional		$8.39	$8.39	$30.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $30.69 / $30.69	Professional		$15.72	$30.69	$30.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.32 / $8.84	Professional		$2.00	$3.32	$8.84