Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $10.11 / $11.93	Facility		$5.35	$10.11	$11.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.62 / $11.42	Professional		$5.46	$5.62	$11.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $10.10 / $12.18	Facility		$6.83	$10.10	$12.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $6.93	Professional		$5.46	$5.46	$6.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $7.47 / $8.74	Facility		$7.47	$7.47	$8.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $6.60 / $13.72	Facility		$5.46	$6.60	$13.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.56 / $8.65	Professional		$5.25	$6.56	$8.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $12.13	Facility		$0.52	$0.52	$12.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $10.92 / $10.92	Professional		$0.78	$10.92	$10.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $1.42 / $5.19	Facility		$0.52	$1.42	$5.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $10.90	Professional		$5.19	$5.19	$10.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $65.00 / $85.00	Professional		$5.16	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $12.13	Facility		$0.52	$0.52	$12.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $10.92 / $10.92	Professional		$0.78	$10.92	$10.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.76 / $17.29	Professional		$5.46	$5.76	$17.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,903.04 / $6,903.04 / $6,903.04	Facility		$6,903.04	$6,903.04	$6,903.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Professional		$5.46	$5.46	$5.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.67 / $7.67	Professional		$5.69	$7.67	$7.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $7.53	Professional		$5.46	$5.46	$7.53