Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $61.44 / $119.04	Facility		$12.26	$61.44	$119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $7.40 / $9.80	Professional		$6.70	$7.40	$9.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $21.24 / $22.47	Facility		$17.57	$21.24	$22.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $33.63	Professional		$6.05	$6.05	$33.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $22.19 / $23.06	Facility		$5.45	$22.19	$23.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Professional		$8.17	$8.17	$8.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.00 / $25.00	Professional		$9.50	$22.00	$25.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $9.80	Facility		$7.28	$7.28	$9.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $50.64 / $103.69	Facility		$7.28	$50.64	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.80 / $22.06	Professional		$4.90	$9.80	$22.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $16.01 / $85.00	Professional		$4.09	$16.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $9.80	Facility		$7.28	$7.28	$9.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $19.80 / $52.04	Professional		$9.99	$19.80	$52.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.34 / $100.00	Facility		$16.34	$16.34	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.39 / $8.10	Professional		$4.33	$5.39	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $32.45	Professional		$17.39	$17.39	$32.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $41.22 / $44.61	Professional		$32.45	$41.22	$44.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.17 / $23.98	Professional		$4.90	$8.17	$23.98