Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $8.69 / $12.91	Facility		$6.95	$8.69	$12.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.95 / $37.00	Professional		$4.75	$6.95	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $15.05 / $15.92	Facility		$12.45	$15.05	$15.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $23.61	Professional		$2.34	$2.34	$23.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $14.16 / $14.71	Facility		$3.63	$14.16	$14.71
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 / $17.28 / $19.64	Professional		$6.61	$17.28	$19.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.57 / $6.95	Facility		$4.23	$4.57	$6.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.75 / $100.00	Facility		$4.23	$4.75	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.37 / $13.94	Professional		$3.47	$6.37	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $9.31 / $85.00	Professional		$2.90	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.57 / $6.95	Facility		$4.23	$4.57	$6.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $14.26 / $32.94	Professional		$6.84	$14.26	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $100.00	Facility		$11.58	$11.58	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.10 / $4.70	Professional		$3.07	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $13.91	Professional		$12.33	$12.33	$13.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $21.78 / $31.61	Professional		$13.91	$21.78	$31.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.79 / $11.98	Professional		$3.47	$5.79	$11.98