Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $21.54 / $228.45	Facility		$11.59	$21.54	$228.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $9.18 / $37.97	Professional		$7.92	$9.18	$37.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $25.12 / $26.57	Facility		$20.77	$25.12	$26.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $39.96	Professional		$4.76	$4.76	$39.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $26.22 / $27.25	Facility		$6.59	$26.22	$27.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.02 / $29.56	Professional		$11.15	$26.02	$29.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $11.59	Facility		$8.61	$8.61	$11.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $8.69 / $100.00	Facility		$7.92	$8.69	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.66 / $26.76	Professional		$5.67	$9.66	$26.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $18.93 / $85.00	Professional		$4.83	$18.93	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $11.59	Facility		$8.61	$8.61	$11.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $23.76 / $75.76	Professional		$11.80	$23.76	$75.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $100.00	Facility		$19.32	$19.32	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.37 / $9.41	Professional		$5.12	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $20.57 / $24.00	Professional		$20.57	$20.57	$24.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $28.07 / $52.74	Professional		$24.00	$28.07	$52.74
United Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Facility		$11.59	$11.59	$11.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.97 / $23.92	Professional		$5.00	$7.97	$23.92