Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $83.82 / $123.20	Facility		$9.92	$83.82	$123.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $6.00 / $15.10	Professional		$5.67	$6.00	$15.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $17.19 / $18.18	Facility		$14.21	$17.19	$18.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $27.35	Professional		$3.26	$3.26	$27.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $17.96 / $18.67	Facility		$4.41	$17.96	$18.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.80 / $20.23	Professional		$7.43	$17.80	$20.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $7.93	Facility		$5.88	$5.88	$7.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $6.61 / $116.10	Facility		$5.88	$6.61	$116.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.61 / $18.30	Professional		$3.88	$6.61	$18.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $18.23 / $85.00	Professional		$3.31	$18.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $7.93	Facility		$5.88	$5.88	$7.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $15.84 / $103.23	Professional		$8.09	$15.84	$103.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $13.22 / $100.00	Facility		$13.22	$13.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.41 / $6.53	Professional		$3.50	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.08 / $17.10	Professional		$14.08	$14.08	$17.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $36.09	Professional		$17.10	$17.10	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.58 / $19.39	Professional		$3.83	$5.58	$19.39