Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $55.46 / $91.13	Facility		$9.52	$55.46	$91.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.72 / $5.12	Professional		$3.33	$3.72	$5.12
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 $2.11 / $2.11 / $17.66	Professional		$2.11	$2.11	$17.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $11.61 / $12.07	Facility		$3.43	$11.61	$12.07
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 / $11.50 / $13.06	Professional		$4.96	$11.50	$13.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.26 / $100.00	Facility		$3.80	$4.26	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.61 / $11.83	Professional		$2.48	$3.61	$11.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $8.37 / $85.00	Professional		$2.14	$8.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $10.30 / $43.91	Professional		$5.23	$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 / $2.78 / $4.18	Professional		$2.25	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.15 / $9.09	Professional		$5.15	$5.15	$9.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.15 / $23.31	Professional		$5.15	$5.15	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.58 / $10.56	Professional		$2.31	$3.58	$10.56