Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $34.14 / $40.22	Facility		$18.04	$34.14	$40.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $19.18 / $821.42	Professional		$18.44	$19.18	$821.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $23.05 / $23.05	Facility		$23.05	$23.05	$23.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $23.41	Professional		$18.44	$18.44	$23.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $29.50	Facility		$25.25	$25.25	$29.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $46.55 / $66.54	Facility		$18.44	$46.55	$66.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $36.14 / $41.06	Professional		$18.44	$36.14	$41.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $17.51 / $20.87	Facility		$5.01	$17.51	$20.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $36.88 / $36.88	Professional		$2.67	$36.88	$36.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $17.51 / $20.87	Facility		$5.01	$17.51	$20.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $36.77	Professional		$17.51	$17.51	$36.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $65.00 / $85.00	Professional		$18.25	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $17.51 / $20.87	Facility		$5.01	$17.51	$20.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $36.88 / $36.88	Professional		$2.67	$36.88	$36.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $28.29 / $61.00	Professional		$18.44	$28.29	$61.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $113.10 / $113.10	Facility		$113.10	$113.10	$113.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $25.89 / $35.74	Professional		$25.89	$25.89	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $27.66	Professional		$18.44	$18.44	$27.66