Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.66 / $12.87	Facility		$6.92	$8.66	$12.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.92 / $36.18	Professional		$4.73	$6.92	$36.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $15.00 / $15.87	Facility		$12.41	$15.00	$15.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $23.88	Professional		$2.85	$2.85	$23.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $15.66 / $16.28	Facility		$4.50	$15.66	$16.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.53 / $17.64	Professional		$6.61	$15.53	$17.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $6.92	Facility		$5.14	$5.14	$6.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $5.19 / $100.00	Facility		$4.73	$5.19	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.77 / $15.98	Professional		$3.46	$5.77	$15.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $11.32 / $85.00	Professional		$2.89	$11.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $6.92	Facility		$5.14	$5.14	$6.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $14.26 / $49.41	Professional		$7.05	$14.26	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $13.77 / $100.00	Facility		$11.54	$13.77	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.76 / $5.75	Professional		$3.06	$3.76	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $17.14	Professional		$12.29	$12.29	$17.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.09 / $31.50	Professional		$17.14	$29.09	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.01 / $12.95	Professional		$3.35	$5.01	$12.95