Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $18.34 / $4,854.26	Facility		$9.01	$18.34	$4,854.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.10 / $8,310.21	Professional		$8.75	$9.10	$8,310.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $16.19 / $19.51	Facility		$10.94	$16.19	$19.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $11.11	Professional		$8.75	$8.75	$11.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $14.00	Facility		$11.98	$11.98	$14.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $20.91 / $29.89	Facility		$8.75	$20.91	$29.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.73 / $15.60	Professional		$9.23	$13.73	$15.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $8.75 / $9.17	Facility		$7.65	$8.75	$9.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.50 / $17.50	Professional		$13.76	$17.50	$17.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $9.17 / $9.17	Facility		$7.65	$9.17	$9.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $17.50	Professional		$9.17	$9.17	$17.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $65.00 / $85.00	Professional		$9.03	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $8.75 / $9.17	Facility		$7.65	$8.75	$9.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.50 / $17.50	Professional		$13.76	$17.50	$17.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.29 / $26.00	Professional		$8.75	$13.29	$26.00
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 $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $12.29 / $13.50	Professional		$10.67	$12.29	$13.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $11.38	Professional		$8.75	$8.75	$11.38