Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $63.76 / $96.36	Facility		$12.64	$63.76	$96.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.96 / $9.18	Professional		$4.76	$4.96	$9.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $14.74 / $15.59	Facility		$12.19	$14.74	$15.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $2.80 / $23.45	Professional		$2.80	$2.80	$23.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $15.40 / $16.00	Facility		$4.55	$15.40	$16.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $5.67	Professional		$5.67	$5.67	$5.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.27 / $17.35	Professional		$6.61	$15.27	$17.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $6.80	Facility		$5.05	$5.05	$6.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $26.57 / $68.97	Facility		$5.05	$26.57	$68.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.67 / $15.71	Professional		$3.33	$5.67	$15.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $11.12 / $85.00	Professional		$2.84	$11.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $6.80	Facility		$5.05	$5.05	$6.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $14.26 / $74.23	Professional		$6.93	$14.26	$74.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $13.52 / $60.00	Facility		$11.34	$13.52	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.76 / $5.49	Professional		$3.01	$3.76	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $12.07	Professional		$11.59	$11.59	$12.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $28.61 / $30.96	Professional		$11.59	$28.61	$30.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.76 / $14.05	Professional		$3.29	$4.76	$14.05