Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $33.11 / $44.14	Facility		$22.07	$33.11	$44.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $22.07 / $32.00	Professional		$21.22	$22.07	$32.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $47.45 / $49.22	Facility		$40.83	$47.45	$49.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $19.87 / $26.92	Professional		$19.87	$19.87	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $46.13 / $46.13	Facility		$35.31	$46.13	$46.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $53.07 / $75.87	Facility		$21.82	$53.07	$75.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $24.30 / $27.84	Professional		$22.28	$24.30	$27.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $21.86 / $22.14	Facility		$11.80	$21.86	$22.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $44.14 / $44.14	Professional		$44.14	$44.14	$44.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $21.86 / $22.14	Facility		$11.80	$21.86	$22.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $23.23 / $44.14	Professional		$19.72	$23.23	$44.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $53.34 / $85.00	Professional		$10.99	$53.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $21.86 / $22.14	Facility		$11.80	$21.86	$22.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $44.14 / $44.14	Professional		$44.14	$44.14	$44.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $36.72 / $74.80	Professional		$22.07	$36.72	$74.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $30.99 / $30.99	Professional		$26.44	$30.99	$30.99
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $22.28 / $32.34	Professional		$19.72	$22.28	$32.34