Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $28.81 / $221.11	Facility		$15.50	$28.81	$221.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.70 / $15.50	Professional		$10.59	$11.70	$15.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $33.59 / $35.53	Facility		$27.78	$33.59	$35.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $53.46	Professional		$6.38	$6.38	$53.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $35.07 / $36.45	Facility		$8.81	$35.07	$36.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $12.92	Professional		$12.92	$12.92	$12.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.79 / $39.54	Professional		$14.87	$34.79	$39.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $15.50	Facility		$11.50	$11.50	$15.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $11.63 / $100.00	Facility		$10.59	$11.63	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $12.92 / $35.79	Professional		$7.75	$12.92	$35.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $25.31 / $85.00	Professional		$6.46	$25.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $15.50	Facility		$11.50	$11.50	$15.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $31.68 / $105.84	Professional		$15.79	$31.68	$105.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $25.84 / $100.00	Facility		$25.84	$25.84	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $8.49 / $12.55	Professional		$6.85	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $27.51	Professional		$14.88	$14.88	$27.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $70.54	Professional		$14.88	$14.88	$70.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.90 / $35.40	Professional		$7.49	$10.90	$35.40