Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $43.04 / $57.05	Facility		$6.59	$43.04	$57.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.26 / $5.49	Professional		$4.13	$4.26	$5.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $14.27 / $15.10	Facility		$11.80	$14.27	$15.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $22.40	Professional		$2.34	$2.34	$22.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $13.42 / $13.94	Facility		$3.71	$13.42	$13.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $5.49 / $5.49	Professional		$5.49	$5.49	$5.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $14.78 / $16.80	Professional		$6.20	$14.78	$16.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.38 / $6.59	Facility		$4.23	$4.38	$6.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.94 / $100.00	Facility		$4.23	$4.94	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $5.21 / $13.94	Professional		$3.18	$5.21	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $9.31 / $85.00	Professional		$2.75	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.38 / $6.59	Facility		$4.23	$4.38	$6.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.46 / $26.10	Professional		$6.46	$13.46	$26.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $100.00	Facility		$10.98	$10.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.10 / $4.70	Professional		$2.91	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $14.96	Professional		$11.69	$11.69	$14.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $19.36 / $29.98	Professional		$14.96	$19.36	$29.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $4.38 / $13.94	Professional		$2.96	$4.38	$13.94