Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $78.72 / $114.21	Facility		$10.31	$78.72	$114.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.98 / $6.87	Professional		$5.63	$5.98	$6.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $17.86 / $18.89	Facility		$14.77	$17.86	$18.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $28.42	Professional		$3.39	$3.39	$28.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $18.64 / $19.38	Facility		$4.58	$18.64	$19.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
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 / $18.50 / $21.03	Professional		$7.85	$18.50	$21.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $8.24	Facility		$6.12	$6.12	$8.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.61 / $100.00	Facility		$6.12	$6.61	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $6.87 / $19.03	Professional		$4.04	$6.87	$19.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $13.46 / $85.00	Professional		$3.44	$13.46	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $8.24	Facility		$6.12	$6.12	$8.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $16.63 / $65.89	Professional		$8.39	$16.63	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $13.74 / $100.00	Facility		$13.74	$13.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.57 / $6.80	Professional		$3.64	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $14.63	Professional		$9.27	$9.27	$14.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $27.38 / $37.51	Professional		$9.27	$27.38	$37.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.65 / $18.82	Professional		$3.44	$5.65	$18.82