Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $47.36	Facility		$9.72	$9.72	$47.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.84 / $59.00	Professional		$9.38	$11.84	$59.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.00 / $36.40	Professional		$4.25	$5.00	$36.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $28.46 / $30.39	Facility		$11.76	$28.46	$30.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.76 / $15.15	Professional		$11.65	$11.76	$15.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $75.00	Facility		$32.44	$37.90	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $23.39 / $106.98	Professional		$11.05	$23.39	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $14.17 / $28.00	Facility		$8.26	$14.17	$28.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $15.36 / $100.00	Facility		$8.67	$15.36	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.46 / $79.15	Professional		$12.58	$15.46	$79.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $50.00 / $85.00	Professional		$20.50	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $14.17 / $26.57	Facility		$8.26	$14.17	$26.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $32.08 / $43.91	Professional		$16.39	$32.08	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $75.00 / $100.00	Facility		$25.63	$75.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $70.75 / $79.15	Professional		$14.32	$70.75	$79.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Security Health Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $34.38 / $34.38	Professional		$19.30	$34.38	$34.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $14.80 / $37.50	Professional		$11.81	$14.80	$37.50