Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $69.66 / $89.12	Facility		$34.13	$69.66	$89.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.71 / $7.35	Professional		$4.54	$4.71	$7.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $13.78 / $14.58	Facility		$11.40	$13.78	$14.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $21.93	Professional		$3.92	$3.92	$21.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $14.39 / $14.96	Facility		$3.54	$14.39	$14.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Professional		$5.30	$5.30	$5.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.27 / $16.21	Professional		$5.78	$14.27	$16.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.71 / $6.36	Facility		$4.71	$4.71	$6.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $27.05 / $82.51	Facility		$4.71	$27.05	$82.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.30 / $21.37	Professional		$3.11	$5.30	$21.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $10.38 / $85.00	Professional		$2.65	$10.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.71 / $6.36	Facility		$4.71	$4.71	$6.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $12.67 / $52.72	Professional		$6.48	$12.67	$52.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $10.60 / $100.00	Facility		$10.60	$10.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.43 / $5.23	Professional		$2.81	$3.43	$5.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $11.29	Professional		$6.08	$6.08	$11.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $28.94	Professional		$6.08	$6.08	$28.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.36 / $14.68	Professional		$3.00	$4.36	$14.68