Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $11.61 / $17.26	Facility		$9.28	$11.61	$17.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.35 / $20.56	Professional		$6.35	$7.35	$20.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.12 / $21.29	Facility		$16.64	$20.12	$21.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $31.57	Professional		$3.10	$3.10	$31.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $18.91 / $19.66	Facility		$5.65	$18.91	$19.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.85 / $23.69	Professional		$9.09	$20.85	$23.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.03 / $9.28	Facility		$4.66	$5.03	$9.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $6.35 / $100.00	Facility		$4.66	$6.35	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $6.19 / $15.35	Professional		$4.28	$6.19	$15.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $11.61 / $85.00	Professional		$3.87	$11.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.03 / $9.28	Facility		$4.66	$5.03	$9.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $19.01 / $39.53	Professional		$9.11	$19.01	$39.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $100.00	Facility		$15.48	$15.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.50 / $5.23	Professional		$3.43	$3.50	$5.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $16.48	Professional		$5.39	$5.39	$16.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $22.49 / $42.26	Professional		$5.39	$22.49	$42.26
United Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Facility		$7.74	$7.74	$7.74
United Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.74 / $14.41	Professional		$3.87	$5.74	$14.41