Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $14.40 / $66.00	Facility		$5.12	$14.40	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.05 / $24.12	Professional		$3.67	$4.05	$24.12
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 / $17.57	Professional		$2.11	$2.11	$17.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $11.61 / $12.07	Facility		$3.26	$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 / $12.75 / $14.49	Professional		$4.96	$12.75	$14.49
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 $3.50 / $4.09 / $70.00	Facility		$3.50	$4.09	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $5.12 / $11.53	Professional		$2.56	$5.12	$11.53
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 / $14.30	Professional		$5.23	$10.30	$14.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $70.00	Facility		$8.53	$8.53	$70.00
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 $9.09 / $9.09 / $9.36	Professional		$9.09	$9.09	$9.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.41 / $23.31	Professional		$9.36	$12.41	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $10.75	Professional		$2.56	$4.26	$10.75