Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $18.05 / $294.14	Facility		$9.72	$18.05	$294.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $7.61 / $9.72	Professional		$6.29	$7.61	$9.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $21.06 / $22.28	Facility		$17.42	$21.06	$22.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $33.04	Professional		$3.45	$3.45	$33.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $19.79 / $20.57	Facility		$4.51	$19.79	$20.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $8.10	Professional		$8.10	$8.10	$8.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.81 / $24.79	Professional		$9.50	$21.81	$24.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.48 / $9.72	Facility		$6.22	$6.48	$9.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $7.22 / $150.11	Facility		$6.22	$7.22	$150.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $7.67 / $20.52	Professional		$4.70	$7.67	$20.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $13.70 / $85.00	Professional		$4.05	$13.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.48 / $9.72	Facility		$6.22	$6.48	$9.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $19.80 / $34.07	Professional		$9.50	$19.80	$34.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $150.11	Facility		$16.20	$16.20	$150.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.57 / $6.80	Professional		$4.29	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $18.69	Professional		$17.25	$17.25	$18.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $27.87 / $44.23	Professional		$18.69	$27.87	$44.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.48 / $22.20	Professional		$4.37	$6.48	$22.20