Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $52.53 / $108.02	Facility		$7.22	$52.53	$108.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.51 / $29.00	Professional		$4.18	$4.51	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $12.51 / $13.23	Facility		$10.34	$12.51	$13.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $20.60	Professional		$2.38	$2.38	$20.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $13.08 / $13.59	Facility		$3.21	$13.08	$13.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.95 / $14.71	Professional		$5.78	$12.95	$14.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $5.77	Facility		$4.28	$4.28	$5.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $9.67 / $66.31	Facility		$4.28	$9.67	$66.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.80 / $13.32	Professional		$2.82	$4.80	$13.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $13.28 / $85.00	Professional		$2.41	$13.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $5.77	Facility		$4.28	$4.28	$5.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.88 / $41.75	Professional		$5.89	$11.88	$41.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $100.00	Facility		$9.61	$9.61	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.10 / $4.70	Professional		$2.54	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.24	Professional		$6.08	$6.08	$10.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $21.78 / $26.26	Professional		$6.08	$21.78	$26.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.96 / $13.18	Professional		$2.41	$3.96	$13.18