Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $11.29 / $13.29	Facility		$5.88	$11.29	$13.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.94 / $3,242.40	Professional		$5.70	$5.94	$3,242.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $10.56 / $12.73	Facility		$7.14	$10.56	$12.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $7.25	Professional		$5.71	$5.71	$7.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $10.47 / $10.47	Facility		$8.44	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $7.26 / $16.59	Facility		$5.71	$7.26	$16.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $9.55 / $10.85	Professional		$6.00	$9.55	$10.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.79 / $12.84	Facility		$4.63	$5.79	$12.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.42 / $11.42	Professional		$8.69	$11.42	$11.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.79 / $12.84	Facility		$4.63	$5.79	$12.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $11.42	Professional		$5.79	$5.79	$11.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $65.00 / $85.00	Professional		$5.88	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.79 / $12.84	Facility		$4.63	$5.79	$12.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.42 / $11.42	Professional		$8.69	$11.42	$11.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $8.00 / $18.00	Professional		$5.70	$8.00	$18.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.71 / $100.00	Facility		$5.71	$5.71	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $8.02 / $8.80	Professional		$6.16	$8.02	$8.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $8.28	Professional		$5.71	$5.71	$8.28