Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $50.40 / $86.73	Facility		$9.22	$50.40	$86.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $6.68 / $41.88	Professional		$5.82	$6.68	$41.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $17.37 / $18.37	Facility		$14.36	$17.37	$18.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $27.26	Professional		$3.30	$3.30	$27.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $18.13 / $18.85	Facility		$5.09	$18.13	$18.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $17.98 / $20.44	Professional		$7.85	$17.98	$20.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $8.02	Facility		$5.95	$5.95	$8.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $6.68 / $100.00	Facility		$5.95	$6.68	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $5.34 / $14.83	Professional		$3.05	$5.34	$14.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $10.02 / $85.00	Professional		$3.34	$10.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $8.02	Facility		$5.95	$5.95	$8.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $16.63 / $72.03	Professional		$8.16	$16.63	$72.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $100.00	Facility		$13.36	$13.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.41 / $6.53	Professional		$3.54	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $14.23	Professional		$10.71	$10.71	$14.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.91 / $36.47	Professional		$10.71	$14.91	$36.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $5.34 / $12.43	Professional		$3.05	$5.34	$12.43