Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $12.70 / $55.66	Facility		$9.96	$12.70	$55.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.25 / $17.89	Professional		$9.96	$13.25	$17.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $14.51 / $43.43	Professional		$8.96	$14.51	$43.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $12.19 / $16.94	Facility		$9.14	$12.19	$16.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.57 / $31.07	Professional		$12.43	$16.57	$31.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $18.00 / $49.35	Professional		$4.30	$18.00	$49.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $14.94 / $21.25	Facility		$12.26	$14.94	$21.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.94 / $22.59	Facility		$12.02	$14.94	$22.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $22.52 / $91.77	Professional		$6.16	$22.52	$91.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $58.40 / $70.00	Professional		$7.13	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $14.94 / $21.25	Facility		$12.26	$14.94	$21.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $24.70 / $42.63	Professional		$13.67	$24.70	$42.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Facility		$31.73	$31.73	$31.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $64.26 / $91.77	Professional		$5.00	$64.26	$91.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $36.08 / $40.61	Professional		$16.27	$36.08	$40.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $15.94 / $48.05	Professional		$5.85	$15.94	$48.05