Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Facility		$11.59	$11.59	$11.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.59 / $18.20	Professional		$9.19	$11.59	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $38.79 / $81.66	Professional		$20.03	$38.79	$81.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $22.61 / $26.09	Facility		$17.39	$22.61	$26.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $23.60 / $38.15	Professional		$18.48	$23.60	$38.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $83.97	Facility		$54.07	$63.18	$83.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.58 / $40.75	Professional		$16.22	$28.58	$40.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $16.23 / $43.82	Facility		$11.59	$16.23	$43.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Professional		$16.03	$16.03	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $17.46 / $117.09	Facility		$11.41	$17.46	$117.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $15.60 / $155.86	Professional		$11.56	$15.60	$155.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $17.23 / $43.82	Facility		$11.59	$17.23	$43.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Professional		$16.03	$16.03	$16.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $45.51 / $60.43	Professional		$21.83	$45.51	$60.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $49.18 / $117.05	Facility		$37.07	$49.18	$117.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $101.05 / $155.86	Professional		$16.22	$101.05	$155.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $41.46 / $62.28	Professional		$35.96	$41.46	$62.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.14 / $22.96	Professional		$8.52	$12.14	$22.96