Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $34.74 / $52.11	Facility		$17.89	$34.74	$52.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $20.11 / $672.00	Professional		$19.52	$20.11	$672.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $36.11 / $43.53	Facility		$24.40	$36.11	$43.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $24.79	Professional		$19.52	$19.52	$24.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $26.72 / $31.23	Facility		$26.72	$26.72	$31.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $47.36 / $67.69	Facility		$19.52	$47.36	$67.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $27.41 / $31.15	Professional		$18.23	$27.41	$31.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.37 / $42.76	Facility		$9.94	$17.37	$42.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $39.04 / $39.04	Professional		$26.06	$39.04	$39.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.37 / $38.49	Facility		$9.94	$17.37	$38.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $36.47	Professional		$17.37	$17.37	$36.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $65.00 / $85.00	Professional		$17.37	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.37 / $42.76	Facility		$9.94	$17.37	$42.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $39.04 / $39.04	Professional		$26.06	$39.04	$39.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $19.53 / $54.00	Professional		$19.42	$19.53	$54.00
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 $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $27.41 / $27.41	Professional		$13.71	$27.41	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $25.38	Professional		$19.52	$19.52	$25.38