Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $6.47 / $60.06	Facility		$5.17	$6.47	$60.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.05 / $16.79	Professional		$3.53	$4.05	$16.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $11.21 / $11.85	Facility		$9.27	$11.21	$11.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $17.82	Professional		$2.11	$2.11	$17.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $11.61 / $12.07	Facility		$3.28	$11.61	$12.07
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 / $11.61 / $13.19	Professional		$4.96	$11.61	$13.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.17	Facility		$3.80	$3.80	$5.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $3.88 / $75.67	Facility		$3.53	$3.88	$75.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.30 / $11.94	Professional		$2.59	$4.30	$11.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $8.37 / $85.00	Professional		$2.16	$8.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.17	Facility		$3.80	$3.80	$5.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $10.30 / $14.30	Professional		$5.23	$10.30	$14.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $75.67	Facility		$8.61	$8.61	$75.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.78 / $4.18	Professional		$2.27	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $18.28	Professional		$9.18	$9.18	$18.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.26 / $23.53	Professional		$17.03	$20.26	$23.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.30 / $12.52	Professional		$2.59	$4.30	$12.52