Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $76.26 / $134.41	Facility		$33.00	$76.26	$134.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.61 / $6.39	Professional		$3.89	$4.61	$6.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13.47 / $14.25	Facility		$11.14	$13.47	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $21.43	Professional		$3.83	$3.83	$21.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $14.05 / $14.61	Facility		$4.16	$14.05	$14.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
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 / $13.95 / $15.85	Professional		$5.78	$13.95	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $59.96 / $118.91	Facility		$4.98	$59.96	$118.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $38.15	Professional		$3.11	$5.18	$38.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $10.14 / $85.00	Professional		$2.59	$10.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.67 / $65.89	Professional		$6.99	$12.67	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $12.33 / $100.00	Facility		$10.36	$12.33	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.43 / $4.97	Professional		$2.75	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $11.03	Professional		$9.58	$9.58	$11.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.05 / $28.28	Professional		$9.58	$15.05	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $19.71	Professional		$3.11	$5.18	$19.71