Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $80.51 / $117.26	Facility		$7.95	$80.51	$117.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.16 / $6.92	Professional		$4.90	$5.16	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $15.00 / $15.87	Facility		$12.41	$15.00	$15.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $23.88	Professional		$2.85	$2.85	$23.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $15.66 / $16.28	Facility		$3.94	$15.66	$16.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.53 / $17.64	Professional		$6.61	$15.53	$17.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $6.92	Facility		$5.14	$5.14	$6.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.77 / $100.00	Facility		$5.14	$5.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.77 / $16.95	Professional		$3.46	$5.77	$16.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $11.32 / $85.00	Professional		$2.86	$11.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $6.92	Facility		$5.14	$5.14	$6.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $14.26 / $52.72	Professional		$7.05	$14.26	$52.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $100.00	Facility		$11.54	$11.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.76 / $5.75	Professional		$3.06	$3.76	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $45.32	Professional		$12.29	$12.29	$45.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $31.50 / $45.32	Professional		$22.99	$31.50	$45.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.88 / $16.95	Professional		$3.46	$4.88	$16.95