Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $61.60 / $98.79	Facility		$25.59	$61.60	$98.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.59 / $9.84	Professional		$4.25	$4.59	$9.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13.47 / $14.25	Facility		$11.14	$13.47	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $21.43	Professional		$3.83	$3.83	$21.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $14.05 / $14.61	Facility		$2.85	$14.05	$14.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.95 / $15.85	Professional		$5.78	$13.95	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $49.28 / $97.72	Facility		$4.61	$49.28	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $32.45	Professional		$3.11	$5.18	$32.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $10.14 / $85.00	Professional		$2.59	$10.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.67 / $63.68	Professional		$6.99	$12.67	$63.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $100.00	Facility		$10.36	$10.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.43 / $4.97	Professional		$2.75	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $13.39	Professional		$11.03	$11.03	$13.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $28.28	Professional		$13.39	$13.39	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.34 / $12.81	Professional		$2.59	$4.34	$12.81