Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $32.93 / $83.00	Facility		$9.60	$32.93	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.95 / $20.57	Professional		$2.70	$3.95	$20.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.05 / $8.52 / $9.02	Facility		$7.05	$8.52	$9.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.00 / $13.39	Professional		$1.97	$2.00	$13.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $8.02 / $8.33	Facility		$2.17	$8.02	$8.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.28 / $3.28	Professional		$3.28	$3.28	$3.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $16.14	Facility		$9.01	$10.53	$16.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $9.78 / $11.13	Professional		$3.72	$9.78	$11.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $3.94	Facility		$1.64	$1.64	$3.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $23.38 / $50.44	Facility		$1.64	$23.38	$50.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.28 / $6.87	Professional		$1.96	$3.28	$6.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $4.92 / $85.00	Professional		$1.64	$4.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $3.94	Facility		$1.64	$1.64	$3.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.92 / $32.94	Professional		$3.80	$7.92	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $60.00	Facility		$6.56	$6.56	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.56 / $2.35	Professional		$1.47	$1.56	$2.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $9.35	Professional		$6.98	$6.98	$9.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.10 / $17.91	Professional		$9.35	$11.10	$17.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.28 / $6.87	Professional		$1.96	$3.28	$6.87