Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $51.00 / $71.28	Facility		$7.60	$51.00	$71.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.99 / $7.56	Professional		$4.80	$4.99	$7.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $14.33 / $15.15	Facility		$11.85	$14.33	$15.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $22.79	Professional		$2.72	$2.72	$22.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $14.95 / $15.54	Facility		$3.76	$14.95	$15.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $14.84 / $16.86	Professional		$6.20	$14.84	$16.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $6.61	Facility		$4.91	$4.91	$6.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.31 / $100.00	Facility		$4.51	$5.31	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.51 / $15.26	Professional		$3.24	$5.51	$15.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $10.81 / $85.00	Professional		$2.76	$10.81	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $6.61	Facility		$4.91	$4.91	$6.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $13.46 / $43.91	Professional		$6.73	$13.46	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $11.02 / $100.00	Facility		$11.02	$11.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.59 / $5.49	Professional		$2.92	$3.59	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $65.04	Professional		$11.73	$11.73	$65.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $30.08 / $65.04	Professional		$21.97	$30.08	$65.04
United Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Facility		$5.51	$5.51	$5.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.55 / $16.19	Professional		$3.20	$4.55	$16.19