Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $62.92 / $118.08	Facility		$19.20	$62.92	$118.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.69 / $3.59	Professional		$2.33	$2.69	$3.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $7.77 / $8.22	Facility		$6.43	$7.77	$8.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $12.37	Professional		$1.48	$1.48	$12.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $8.11 / $8.43	Facility		$2.04	$8.11	$8.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $2.99	Professional		$2.99	$2.99	$2.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $9.48 / $14.54	Facility		$8.11	$9.48	$14.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $8.05 / $9.15	Professional		$3.30	$8.05	$9.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $3.59	Facility		$2.66	$2.66	$3.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $53.21 / $97.84	Facility		$2.66	$53.21	$97.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.99 / $8.27	Professional		$1.73	$2.99	$8.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $5.37 / $85.00	Professional		$1.50	$5.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $3.59	Facility		$2.66	$2.66	$3.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $7.13 / $50.50	Professional		$3.65	$7.13	$50.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $60.00	Facility		$5.98	$5.98	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.96 / $2.87	Professional		$1.58	$1.96	$2.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $6.70	Professional		$6.37	$6.37	$6.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $16.32	Professional		$6.70	$6.70	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.99 / $8.19	Professional		$1.79	$2.99	$8.19