Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $13.11 / $46.65	Facility		$7.06	$13.11	$46.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.59 / $16.96	Professional		$4.82	$5.59	$16.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.29 / $16.17	Facility		$12.64	$15.29	$16.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $23.99	Professional		$2.35	$2.35	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $14.37 / $14.94	Facility		$3.66	$14.37	$14.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.83 / $17.98	Professional		$6.61	$15.83	$17.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.16 / $7.06	Facility		$3.85	$4.16	$7.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.82 / $100.00	Facility		$3.85	$4.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $4.74 / $12.66	Professional		$3.41	$4.74	$12.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $15.22 / $85.00	Professional		$2.94	$15.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.16 / $7.06	Facility		$3.85	$4.16	$7.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $14.26 / $87.89	Professional		$6.84	$14.26	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $11.76 / $100.00	Facility		$11.76	$11.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.88 / $4.18	Professional		$2.78	$2.88	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $12.52	Professional		$8.34	$8.34	$12.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $21.80 / $32.10	Professional		$8.34	$21.80	$32.10
United Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.70 / $12.76	Facility		$4.70	$4.70	$12.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.70 / $10.95	Professional		$3.18	$4.70	$10.95