Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $56.05 / $122.98	Facility		$6.50	$56.05	$122.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.44 / $10.79	Professional		$3.87	$4.44	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $12.27 / $12.98	Facility		$10.15	$12.27	$12.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $19.53	Professional		$2.33	$2.33	$19.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $12.83 / $13.34	Facility		$3.03	$12.83	$13.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Professional		$4.72	$4.72	$4.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.71 / $14.44	Professional		$5.78	$12.71	$14.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $5.66	Facility		$4.21	$4.21	$5.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $4.25 / $100.00	Facility		$3.87	$4.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.72 / $13.07	Professional		$2.83	$4.72	$13.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $9.27 / $85.00	Professional		$2.36	$9.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $5.66	Facility		$4.21	$4.21	$5.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $11.88 / $76.87	Professional		$5.78	$11.88	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $100.00	Facility		$9.44	$9.44	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.10 / $4.70	Professional		$2.50	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $24.51	Professional		$10.05	$10.05	$24.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $24.51 / $25.77	Professional		$18.82	$24.51	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.90 / $12.94	Professional		$2.74	$3.90	$12.94