Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $56.64 / $88.83	Facility		$11.19	$56.64	$88.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.38 / $6.02	Professional		$3.71	$4.38	$6.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $13.05 / $13.81	Facility		$10.79	$13.05	$13.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.71 / $20.78	Professional		$3.71	$3.71	$20.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $13.61 / $14.15	Facility		$3.42	$13.61	$14.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.52 / $15.36	Professional		$5.78	$13.52	$15.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $6.02	Facility		$4.47	$4.47	$6.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $37.75 / $80.61	Facility		$4.47	$37.75	$80.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.01 / $18.07	Professional		$2.95	$5.01	$18.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $10.35 / $85.00	Professional		$2.50	$10.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $6.02	Facility		$4.47	$4.47	$6.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $12.67 / $21.33	Professional		$6.13	$12.67	$21.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $10.03 / $60.00	Facility		$10.03	$10.03	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.27 / $4.97	Professional		$2.66	$3.27	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.69	Professional		$6.08	$6.08	$10.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $14.59 / $27.41	Professional		$6.08	$14.59	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.13 / $11.39	Professional		$2.50	$4.13	$11.39