Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $60.94 / $313.88	Facility		$9.69	$60.94	$313.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.04 / $31.77	Professional		$6.76	$7.04	$31.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $21.01 / $22.22	Facility		$17.37	$21.01	$22.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $33.43	Professional		$3.99	$3.99	$33.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $21.92 / $22.78	Facility		$6.16	$21.92	$22.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Professional		$8.08	$8.08	$8.08
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 / $21.76 / $24.73	Professional		$9.50	$21.76	$24.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.69	Facility		$7.19	$7.19	$9.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $7.77 / $100.00	Facility		$6.38	$7.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.08 / $22.38	Professional		$4.84	$8.08	$22.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $15.84 / $85.00	Professional		$4.04	$15.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.19 / $9.69	Facility		$7.19	$7.19	$9.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $19.80 / $92.26	Professional		$9.86	$19.80	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $17.46 / $100.00	Facility		$16.16	$17.46	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.39 / $7.84	Professional		$4.28	$5.39	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $40.17	Professional		$17.21	$17.21	$40.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $40.74 / $44.12	Professional		$32.20	$40.74	$44.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.82 / $20.00	Professional		$4.69	$6.82	$20.00