Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $17.97 / $79.34	Facility		$9.67	$17.97	$79.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.58 / $9.67	Professional		$6.61	$7.58	$9.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $20.96 / $22.17	Facility		$17.32	$20.96	$22.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $32.88	Professional		$3.98	$3.98	$32.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $21.89 / $22.76	Facility		$6.47	$21.89	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.70 / $24.66	Professional		$9.50	$21.70	$24.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $7.18 / $9.67	Facility		$7.18	$7.18	$9.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.25 / $60.00	Facility		$6.61	$7.25	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.59 / $17.91	Professional		$4.47	$6.59	$17.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $12.09 / $85.00	Professional		$4.03	$12.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $7.18 / $9.67	Facility		$7.18	$7.18	$9.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $19.80 / $57.09	Professional		$9.86	$19.80	$57.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $19.22 / $60.00	Facility		$16.12	$19.22	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.39 / $7.84	Professional		$4.26	$5.39	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $17.16	Professional		$10.92	$10.92	$17.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $44.01	Professional		$10.92	$10.92	$44.01
United Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.06 / $8.06	Facility		$8.06	$8.06	$8.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $6.45 / $17.91	Professional		$4.03	$6.45	$17.91