Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $19.07 / $86.72	Facility		$8.55	$19.07	$86.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.65 / $21.25	Professional		$10.33	$10.65	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $12.93 / $12.93	Facility		$12.93	$12.93	$12.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $13.13	Professional		$10.34	$10.34	$13.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $16.54	Facility		$14.16	$14.16	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $15.73 / $22.48	Facility		$8.67	$15.73	$22.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.09 / $14.06	Professional		$8.00	$9.09	$14.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $8.30 / $22.81	Facility		$6.29	$8.30	$22.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $20.68 / $20.68	Professional		$0.26	$20.68	$20.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $8.30 / $78.75	Facility		$6.29	$8.30	$78.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $17.43	Professional		$8.30	$8.30	$17.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $26.96 / $85.00	Professional		$11.05	$26.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $8.30 / $22.81	Facility		$6.29	$8.30	$22.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $20.68 / $20.68	Professional		$0.26	$20.68	$20.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.96 / $17.60	Professional		$10.34	$10.96	$17.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $10.34	Professional		$10.34	$10.34	$10.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $14.52 / $14.52	Professional		$7.69	$14.52	$14.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $15.51	Professional		$10.34	$10.34	$15.51