Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $77.55 / $124.20	Facility		$7.37	$77.55	$124.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $6.62 / $38.00	Professional		$3.15	$6.62	$38.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $15.96 / $16.89	Facility		$13.20	$15.96	$16.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.74 / $25.41	Professional		$2.80	$3.74	$25.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $15.40 / $16.00	Facility		$4.84	$15.40	$16.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $20.01 / $30.69	Facility		$17.12	$20.01	$30.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $16.53 / $18.79	Professional		$7.02	$16.53	$18.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $7.37	Facility		$5.05	$5.05	$7.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.46 / $100.00	Facility		$5.03	$5.46	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $6.14 / $16.64	Professional		$3.56	$6.14	$16.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $11.12 / $85.00	Professional		$3.07	$11.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $7.37	Facility		$5.05	$5.05	$7.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $15.05 / $57.09	Professional		$7.22	$15.05	$57.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $13.52 / $100.00	Facility		$12.28	$13.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.76 / $5.49	Professional		$3.25	$3.76	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $22.43	Professional		$13.08	$13.08	$22.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $26.89 / $33.52	Professional		$22.43	$26.89	$33.52
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.79 / $16.64	Professional		$3.07	$4.79	$16.64