Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $9.92 / $11.40	Facility		$4.42	$9.92	$11.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.42 / $5.90	Professional		$4.29	$4.42	$5.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $7.94 / $9.57	Facility		$5.36	$7.94	$9.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.79	Professional		$4.29	$4.29	$5.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.86 / $7.86	Facility		$6.35	$6.86	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $11.41 / $19.80	Facility		$4.29	$11.41	$19.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $4.29 / $10.05	Professional		$0.95	$4.29	$10.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.42 / $5.90	Facility		$4.29	$4.42	$5.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $8.58 / $8.58	Professional		$7.44	$8.58	$8.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.96 / $5.52	Facility		$4.13	$4.96	$5.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $4.96 / $24.34	Professional		$4.96	$4.96	$24.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $4.42 / $5.15	Facility		$3.07	$4.42	$5.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $8.58 / $8.58	Professional		$7.44	$8.58	$8.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.68 / $17.00	Professional		$4.29	$6.68	$17.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $85.00	Facility		$4.29	$4.29	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $10.14 / $24.34	Professional		$4.29	$10.14	$24.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.02 / $8.44	Professional		$3.42	$6.02	$8.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.58	Professional		$4.29	$4.29	$5.58