Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $10.63 / $12.51	Facility		$4.83	$10.63	$12.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.83 / $10.90	Professional		$4.69	$4.83	$10.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.68 / $10.46	Facility		$5.86	$8.68	$10.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.95	Professional		$4.69	$4.69	$5.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $7.50	Facility		$6.42	$6.42	$7.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $16.17 / $23.12	Facility		$4.69	$16.17	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $12.33 / $14.01	Professional		$5.70	$12.33	$14.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.45 / $10.69	Facility		$4.69	$5.45	$10.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.38 / $9.38	Professional		$8.18	$9.38	$9.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $5.45 / $12.13	Facility		$5.44	$5.45	$12.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $9.38	Professional		$5.45	$5.45	$9.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $13.64 / $85.00	Professional		$5.59	$13.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.45 / $10.69	Facility		$4.69	$5.45	$10.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.38 / $9.38	Professional		$8.18	$9.38	$9.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $8.17 / $21.09	Professional		$4.69	$8.17	$21.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $7.04	Professional		$4.69	$4.69	$7.04