Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $13.46 / $5,309.33	Facility		$6.93	$13.46	$5,309.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.93 / $11.56	Professional		$6.73	$6.93	$11.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $12.45 / $15.01	Facility		$8.41	$12.45	$15.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.53	Professional		$6.73	$6.73	$8.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $9.21 / $10.77	Facility		$9.21	$9.21	$10.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $15.46 / $22.10	Facility		$6.73	$15.46	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.44 / $10.74	Professional		$6.68	$9.44	$10.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $14.96	Facility		$6.73	$6.73	$14.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $13.46 / $13.46	Professional		$10.10	$13.46	$13.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $15.44	Facility		$6.73	$6.73	$15.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $13.46	Professional		$6.73	$6.73	$13.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.35 / $85.00	Professional		$6.06	$6.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $14.96	Facility		$6.73	$6.73	$14.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $13.46 / $13.46	Professional		$10.10	$13.46	$13.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $9.85 / $21.61	Professional		$6.73	$9.85	$21.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.44 / $9.44	Professional		$8.19	$9.44	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.75	Professional		$6.73	$6.73	$8.75