Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.72 / $8.88	Facility		$3.98	$7.72	$8.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.80	Professional		$8.41	$8.41	$8.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $10.51	Facility		$10.51	$10.51	$10.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $10.68	Professional		$8.41	$8.41	$10.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $13.46	Facility		$11.51	$11.51	$13.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $9.28 / $13.28	Facility		$5.12	$9.28	$13.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.80 / $8.41	Professional		$4.01	$5.80	$8.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.86 / $18.53	Facility		$1.66	$3.86	$18.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $16.82 / $16.82	Professional		$0.80	$16.82	$16.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.86 / $8.56	Facility		$1.66	$3.86	$8.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $8.11	Professional		$3.86	$3.86	$8.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $65.00 / $85.00	Professional		$3.84	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.86 / $18.53	Facility		$1.66	$3.86	$18.53
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $16.82 / $16.82	Professional		$0.80	$16.82	$16.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $8.41 / $13.20	Professional		$4.32	$8.41	$13.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.39 / $273.39 / $273.39	Facility		$273.39	$273.39	$273.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $11.81 / $11.81	Professional		$1.78	$11.81	$11.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $10.93	Professional		$8.41	$8.41	$10.93