Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $72.38 / $174.87	Facility		$9.40	$72.38	$174.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $6.19 / $15.58	Professional		$5.94	$6.19	$15.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $17.73 / $18.76	Facility		$14.66	$17.73	$18.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $28.22	Professional		$3.37	$3.37	$28.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $18.50 / $19.23	Facility		$4.55	$18.50	$19.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $6.82	Professional		$6.82	$6.82	$6.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $18.37 / $20.88	Professional		$7.85	$18.37	$20.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $8.18	Facility		$6.07	$6.07	$8.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.89 / $100.00	Facility		$6.07	$6.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $6.82 / $18.89	Professional		$4.09	$6.82	$18.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $13.35 / $85.00	Professional		$3.41	$13.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $8.18	Facility		$6.07	$6.07	$8.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.63 / $81.28	Professional		$8.33	$16.63	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $100.00	Facility		$13.64	$13.64	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.57 / $6.53	Professional		$3.61	$4.57	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $18.03	Professional		$14.52	$14.52	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $32.90 / $37.24	Professional		$18.03	$32.90	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.57 / $16.87	Professional		$3.96	$5.57	$16.87