Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $92.50 / $186.12	Facility		$9.11	$92.50	$186.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.97 / $9.07	Professional		$5.77	$5.97	$9.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $17.19 / $18.18	Facility		$14.21	$17.19	$18.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $27.35	Professional		$4.90	$4.90	$27.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $17.96 / $18.67	Facility		$3.63	$17.96	$18.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.80 / $20.23	Professional		$7.43	$17.80	$20.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $7.93	Facility		$5.88	$5.88	$7.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $7.93 / $64.80	Facility		$5.88	$7.93	$64.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.61 / $18.30	Professional		$3.88	$6.61	$18.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $12.95 / $85.00	Professional		$3.31	$12.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $7.93	Facility		$5.88	$5.88	$7.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $15.84 / $44.14	Professional		$8.09	$15.84	$44.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $13.22 / $60.00	Facility		$13.22	$13.22	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.41 / $6.53	Professional		$3.50	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $14.08	Professional		$11.54	$11.54	$14.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $19.21 / $36.09	Professional		$11.54	$19.21	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.45 / $15.00	Professional		$3.83	$5.45	$15.00