Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $70.55 / $843.03	Facility		$23.46	$70.55	$843.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.83 / $25.00	Professional		$3.00	$8.83	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $10.00 / $19.54	Facility		$5.00	$10.00	$19.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.44 / $10.00	Professional		$2.14	$2.44	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $7.62 / $9.53	Facility		$1.94	$7.62	$9.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Professional		$9.09	$9.09	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $4.21 / $6.79	Facility		$3.60	$4.21	$6.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $8.67 / $27.03	Professional		$1.50	$8.67	$27.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.03 / $10.28	Facility		$4.46	$7.03	$10.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $29.22 / $167.94	Facility		$10.28	$29.22	$167.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $9.86	Professional		$1.80	$3.00	$9.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $13.64 / $85.00	Professional		$1.49	$13.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.03 / $10.28	Facility		$4.46	$7.03	$10.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $22.09 / $30.80	Professional		$9.09	$22.09	$30.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $1,300.00	Facility		$17.66	$17.66	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $4.18 / $8.60	Professional		$1.44	$4.18	$8.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $24.31	Professional		$6.39	$6.39	$24.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.26 / $24.31	Professional		$16.00	$23.26	$24.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $8.57	Professional		$1.80	$3.00	$8.57