Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $78.84 / $150.72	Facility		$8.09	$78.84	$150.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.47 / $33.79	Professional		$4.80	$6.47	$33.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $14.01 / $14.82	Facility		$11.59	$14.01	$14.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $22.30	Professional		$2.66	$2.66	$22.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $14.64 / $15.21	Facility		$4.11	$14.64	$15.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Professional		$5.39	$5.39	$5.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $14.51 / $16.48	Professional		$6.20	$14.51	$16.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.47	Facility		$4.79	$4.79	$6.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.47 / $64.23	Facility		$4.79	$6.47	$64.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.63 / $14.93	Professional		$3.15	$4.63	$14.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $10.53 / $85.00	Professional		$2.70	$10.53	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.47	Facility		$4.79	$4.79	$6.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $13.46 / $62.87	Professional		$6.59	$13.46	$62.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $100.00	Facility		$10.78	$10.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.59 / $5.23	Professional		$2.86	$3.59	$5.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $12.15	Professional		$11.48	$11.48	$12.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $15.66 / $29.43	Professional		$12.15	$15.66	$29.43
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.43 / $13.29	Professional		$3.13	$4.43	$13.29