Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $62.90 / $96.37	Facility		$11.21	$62.90	$96.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.46 / $7.24	Professional		$5.26	$5.46	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $15.68 / $16.57	Facility		$12.96	$15.68	$16.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $24.96	Professional		$2.98	$2.98	$24.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $16.37 / $17.02	Facility		$4.04	$16.37	$17.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $16.23 / $18.45	Professional		$7.02	$16.23	$18.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $7.24	Facility		$5.37	$5.37	$7.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.03 / $100.00	Facility		$5.37	$6.03	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.03 / $16.70	Professional		$3.54	$6.03	$16.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $11.82 / $85.00	Professional		$3.02	$11.82	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $7.24	Facility		$5.37	$5.37	$7.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $15.05 / $49.41	Professional		$7.37	$15.05	$49.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $100.00	Facility		$12.06	$12.06	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.92 / $6.01	Professional		$3.20	$3.92	$6.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $13.18	Professional		$12.84	$12.84	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $32.92	Professional		$13.18	$13.18	$32.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.09 / $17.70	Professional		$3.48	$5.09	$17.70