Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $71.28 / $101.02	Facility		$12.29	$71.28	$101.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.42 / $18.26	Professional		$6.72	$7.42	$18.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $21.29 / $22.52	Facility		$17.61	$21.29	$22.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.07 / $35.08	Professional		$6.07	$6.07	$35.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $22.24 / $23.11	Facility		$5.46	$22.24	$23.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.06 / $25.06	Professional		$9.50	$22.06	$25.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $9.83	Facility		$7.29	$7.29	$9.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $8.19 / $100.00	Facility		$7.29	$8.19	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.19 / $26.84	Professional		$4.80	$8.19	$26.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $16.05 / $85.00	Professional		$4.09	$16.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $9.83	Facility		$7.29	$7.29	$9.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $19.80 / $72.48	Professional		$10.01	$19.80	$72.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $100.00	Facility		$16.38	$16.38	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.39 / $8.10	Professional		$4.34	$5.39	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $13.70 / $17.44	Professional		$13.70	$13.70	$17.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $13.70 / $44.72	Professional		$13.70	$13.70	$44.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.74 / $20.27	Professional		$4.75	$6.74	$20.27