Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $15.64 / $38.28	Facility		$6.02	$15.64	$38.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.02 / $22.00	Professional		$4.72	$6.02	$22.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $13.05 / $13.81	Facility		$10.79	$13.05	$13.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $20.78	Professional		$2.84	$2.84	$20.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.61 / $15.54	Facility		$5.01	$13.61	$15.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.70 / $16.70	Professional		$5.78	$14.70	$16.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $6.02	Facility		$2.66	$2.66	$6.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $5.01 / $80.00	Facility		$2.66	$5.01	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.88 / $18.17	Professional		$4.01	$6.88	$18.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $13.86 / $85.00	Professional		$2.50	$13.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $6.02	Facility		$2.66	$2.66	$6.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $12.67 / $24.64	Professional		$6.13	$12.67	$24.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $10.03 / $80.00	Facility		$10.03	$10.03	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $3.27	Professional		$2.66	$2.66	$3.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $10.69	Professional		$5.16	$5.16	$10.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $27.41	Professional		$5.16	$5.16	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.01 / $16.32	Professional		$3.01	$5.01	$16.32