Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $24.34	Facility		$4.86	$4.86	$24.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.86 / $15.13	Professional		$3.93	$4.86	$15.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.05 / $16.41	Professional		$4.23	$5.05	$16.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $11.90 / $12.71	Facility		$6.11	$11.90	$12.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.11 / $7.76	Professional		$5.97	$6.11	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $75.00	Facility		$16.22	$18.95	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $11.72 / $106.98	Professional		$5.51	$11.72	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $6.80 / $17.00	Facility		$4.13	$6.80	$17.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $7.28 / $100.00	Facility		$4.13	$7.28	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.05 / $55.00	Professional		$5.14	$6.05	$55.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $58.40 / $85.00	Professional		$7.61	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $6.68 / $17.00	Facility		$3.96	$6.68	$17.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $15.84 / $32.94	Professional		$8.63	$15.84	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $70.00 / $100.00	Facility		$13.17	$70.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $30.25 / $55.00	Professional		$7.18	$30.25	$55.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Professional		$7.37	$7.37	$7.37
Security Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $17.22 / $19.35	Professional		$7.37	$17.22	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.05 / $14.90	Professional		$5.43	$6.05	$14.90