Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $11.04	Facility		$5.94	$5.94	$11.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.65 / $5.94	Professional		$4.05	$4.65	$5.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.87 / $13.61	Facility		$10.64	$12.87	$13.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $20.20	Professional		$2.44	$2.44	$20.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $13.44 / $13.97	Facility		$4.95	$13.44	$13.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $6.56 / $15.15	Professional		$2.62	$6.56	$15.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $5.94 / $66.50	Facility		$2.62	$5.94	$66.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $5.94 / $90.00	Facility		$3.71	$5.94	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.95 / $12.83	Professional		$2.97	$4.95	$12.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $7.43 / $65.00	Professional		$2.45	$7.43	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $5.94 / $66.50	Facility		$2.62	$5.94	$66.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $11.83 / $16.50	Professional		$5.61	$11.83	$16.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $90.00	Facility		$9.90	$9.90	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.62	Professional		$2.60	$2.60	$2.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $27.03 / $27.03	Professional		$14.39	$27.03	$27.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.96 / $12.83	Professional		$2.57	$3.96	$12.83