Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $10.51 / $12.38	Facility		$5.55	$10.51	$12.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.63 / $9.26	Professional		$5.46	$5.63	$9.26
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 $8.08 / $8.74 / $10.00	Facility		$8.08	$8.74	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $13.05 / $18.64	Facility		$5.46	$13.05	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $8.11 / $9.21	Professional		$5.48	$8.11	$9.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $12.13	Facility		$5.39	$5.39	$12.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $10.92 / $10.92	Professional		$8.09	$10.92	$10.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $12.13	Facility		$5.39	$5.39	$12.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.00 / $10.92	Professional		$5.39	$6.00	$10.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $85.00	Professional		$5.39	$5.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $12.13	Facility		$5.39	$5.39	$12.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $10.92 / $10.92	Professional		$8.09	$10.92	$10.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $8.35 / $18.37	Professional		$5.46	$8.35	$18.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $85.00	Facility		$5.46	$5.46	$85.00
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 $7.67 / $7.67 / $7.67	Professional		$7.67	$7.67	$7.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $6.08 / $7.64	Professional		$5.46	$6.08	$7.64