Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $11.55 / $16.55	Facility		$4.80	$11.55	$16.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.50 / $45.90	Professional		$4.79	$9.50	$45.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.00 / $14.25 / $14.25	Professional	25	$12.00	$14.25	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.61 / $15.05	Professional		$4.29	$5.61	$15.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $4.11 / $5.57	Facility		$3.12	$4.11	$5.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.84 / $8.96	Professional		$3.58	$4.84	$8.96
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 $3.00 / $8.10 / $16.53	Professional		$3.00	$8.10	$16.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.05 / $8.26	Facility		$4.13	$5.05	$8.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.11 / $8.24	Facility		$4.13	$5.11	$8.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $12.48 / $29.81	Professional		$6.02	$12.48	$29.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $60.00 / $85.00	Professional		$6.89	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.05 / $8.26	Facility		$4.13	$5.05	$8.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $8.40 / $14.24	Professional		$5.04	$8.40	$14.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Facility		$10.63	$10.63	$10.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $19.13 / $29.81	Professional		$3.00	$19.13	$29.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $22.82 / $22.82	Professional		$5.53	$22.82	$22.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $10.36 / $18.26	Professional		$5.71	$10.36	$18.26