Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Facility		$2.56	$2.56	$2.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.56 / $2.73	Professional		$2.49	$2.56	$2.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.73	Professional		$2.49	$2.49	$3.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.96 / $3.98	Facility		$3.41	$3.96	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $22.44 / $31.80	Facility		$12.27	$22.44	$31.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $11.58 / $16.45	Professional		$2.49	$11.58	$16.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.56 / $4.61	Facility		$2.48	$2.56	$4.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.56 / $5.70	Facility		$2.48	$2.56	$5.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $16.19	Professional		$2.48	$2.48	$16.19
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 $2.48 / $2.56 / $4.61	Facility		$2.48	$2.56	$4.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.88 / $25.34	Professional		$2.49	$3.88	$25.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $85.00	Facility		$65.00	$75.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $14.46 / $5,398.28	Professional		$2.49	$14.46	$5,398.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.41	Professional		$2.49	$2.49	$3.41