Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $69.11 / $84.60	Facility		$32.79	$69.11	$84.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.46 / $8.39	Professional		$4.46	$5.46	$8.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $15.70 / $16.61	Facility		$12.99	$15.70	$16.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $25.00	Professional		$2.98	$2.98	$25.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $16.39 / $17.04	Facility		$4.12	$16.39	$17.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $6.04	Professional		$6.04	$6.04	$6.04
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 / $16.27 / $18.48	Professional		$7.02	$16.27	$18.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $7.25	Facility		$5.37	$5.37	$7.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $30.97 / $69.93	Facility		$5.37	$30.97	$69.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.04 / $16.73	Professional		$3.54	$6.04	$16.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $11.83 / $85.00	Professional		$3.02	$11.83	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $7.25	Facility		$5.37	$5.37	$7.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $15.05 / $65.89	Professional		$7.38	$15.05	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $100.00	Facility		$12.08	$12.08	$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 $6.08 / $6.08 / $12.86	Professional		$6.08	$6.08	$12.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $30.44 / $32.97	Professional		$6.08	$30.44	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.97 / $16.55	Professional		$3.02	$4.97	$16.55