Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $22.05 / $259.60	Facility		$11.87	$22.05	$259.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.84 / $9.40	Professional		$8.11	$8.84	$9.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $25.71 / $27.20	Facility		$21.26	$25.71	$27.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $40.92	Professional		$4.88	$4.88	$40.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $26.83 / $27.89	Facility		$6.75	$26.83	$27.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $26.63 / $30.26	Professional		$11.56	$26.63	$30.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $8.81 / $11.87	Facility		$8.81	$8.81	$11.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $9.89 / $100.00	Facility		$8.81	$9.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $9.89 / $29.00	Professional		$5.93	$9.89	$29.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $27.30 / $85.00	Professional		$4.95	$27.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $8.81 / $11.87	Facility		$8.81	$8.81	$11.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $24.55 / $122.98	Professional		$12.08	$24.55	$122.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $19.78 / $100.00	Facility		$19.78	$19.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.53 / $9.67	Professional		$5.24	$6.53	$9.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $21.06 / $114.97	Professional		$21.06	$21.06	$114.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $114.97 / $114.97	Professional		$49.37	$114.97	$114.97
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $8.35 / $27.10	Professional		$5.74	$8.35	$27.10