Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $46.70 / $149.22	Facility		$11.70	$46.70	$149.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.70 / $87.95	Professional		$11.36	$11.70	$87.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $14.20	Facility		$14.20	$14.20	$14.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $14.42	Professional		$11.36	$11.36	$14.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $18.18	Facility		$15.55	$15.55	$18.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $38.51 / $55.05	Facility		$11.36	$38.51	$55.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $38.93 / $44.24	Professional		$13.09	$38.93	$44.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.68 / $63.92	Facility		$11.36	$11.68	$63.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $22.72 / $22.72	Professional		$9.61	$22.72	$22.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $11.68 / $117.00	Facility		$11.68	$11.68	$117.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.68 / $22.72	Professional		$11.68	$11.68	$22.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $65.00 / $85.00	Professional		$12.86	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.68 / $63.92	Facility		$11.36	$11.68	$63.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $22.72 / $22.72	Professional		$9.61	$22.72	$22.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.69 / $52.24	Professional		$11.36	$17.69	$52.24
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 $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $110.16	Professional		$15.95	$15.95	$110.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $17.04	Professional		$11.36	$11.36	$17.04