Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $2.02 / $2.61	Professional		$1.23	$2.02	$2.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.61 / $11.07	Professional		$2.72	$3.61	$11.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.95 / $3.63	Facility		$2.36	$2.95	$3.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.87 / $3.89	Professional		$2.39	$2.87	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.84 / $7.50	Professional		$3.53	$4.84	$7.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.13 / $3.76	Facility		$1.51	$2.13	$3.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.20 / $5.33	Facility		$1.57	$2.20	$5.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.73 / $22.96	Professional		$1.57	$1.73	$22.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $58.40 / $70.00	Professional		$7.58	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.17 / $4.38	Facility		$1.57	$2.17	$4.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $6.11 / $8.65	Professional		$3.38	$6.11	$8.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.09 / $90.00	Facility		$3.64	$5.09	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $13.70 / $22.96	Professional		$3.53	$13.70	$22.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.86 / $8.44	Professional		$4.59	$4.86	$8.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.64 / $3.13	Professional		$1.10	$1.64	$3.13