Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $20.42 / $92.09	Facility		$5.80	$20.42	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $4.01 / $13.96	Professional		$2.62	$4.01	$13.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $11.10 / $11.74	Facility		$9.18	$11.10	$11.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $17.42	Professional		$2.63	$2.63	$17.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $10.43 / $10.85	Facility		$2.86	$10.43	$10.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
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 / $12.75 / $14.49	Professional		$4.96	$12.75	$14.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.41 / $5.12	Facility		$3.16	$3.41	$5.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.12 / $100.00	Facility		$3.16	$5.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.82 / $10.42	Professional		$2.56	$4.82	$10.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.94 / $85.00	Professional		$2.14	$6.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.41 / $5.12	Facility		$3.16	$3.41	$5.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $10.30 / $43.91	Professional		$4.94	$10.30	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $100.00	Facility		$8.53	$8.53	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.29 / $3.40	Professional		$2.25	$2.29	$3.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $9.09	Professional		$8.50	$8.50	$9.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $14.15 / $23.31	Professional		$8.50	$14.15	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.87 / $11.70	Professional		$2.56	$4.87	$11.70