Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $74.40 / $138.38	Facility		$38.88	$74.40	$138.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.43 / $8.64	Professional		$5.40	$6.43	$8.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $18.72 / $19.80	Facility		$15.48	$18.72	$19.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $30.83	Professional		$5.33	$5.33	$30.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $19.55 / $20.32	Facility		$4.80	$19.55	$20.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $35.54	Facility		$19.82	$23.17	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $19.39 / $22.04	Professional		$8.26	$19.39	$22.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $8.64	Facility		$6.41	$6.41	$8.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $9.22 / $100.00	Facility		$6.41	$9.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.20 / $19.94	Professional		$4.23	$7.20	$19.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $19.87 / $85.00	Professional		$3.60	$19.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $8.64	Facility		$6.41	$6.41	$8.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $17.42 / $69.62	Professional		$8.80	$17.42	$69.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $100.00	Facility		$14.40	$14.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.74 / $7.06	Professional		$3.82	$4.74	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $15.33	Professional		$8.50	$8.50	$15.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $34.15 / $39.31	Professional		$8.50	$34.15	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $6.26 / $17.82	Professional		$3.60	$6.26	$17.82