Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $12.11 / $18.00	Facility		$9.68	$12.11	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.67 / $22.85	Professional		$6.62	$7.67	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $20.98 / $22.19	Facility		$17.35	$20.98	$22.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $32.92	Professional		$3.31	$3.31	$32.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $19.72 / $20.50	Facility		$6.26	$19.72	$20.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.74 / $24.70	Professional		$9.50	$21.74	$24.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $6.45 / $9.68	Facility		$5.97	$6.45	$9.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $6.62 / $60.00	Facility		$5.97	$6.62	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.46 / $17.05	Professional		$4.47	$6.46	$17.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $12.11 / $85.00	Professional		$4.04	$12.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $6.45 / $9.68	Facility		$5.97	$6.45	$9.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $19.80 / $41.75	Professional		$9.50	$19.80	$41.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $50.00 / $60.00	Facility		$16.14	$50.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.41 / $6.53	Professional		$4.28	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $17.19	Professional		$5.99	$5.99	$17.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $24.20 / $44.06	Professional		$5.99	$24.20	$44.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.91 / $15.02	Professional		$4.04	$4.91	$15.02