Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $33.60 / $39.56	Facility		$17.73	$33.60	$39.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.44 / $57.35	Professional		$19.84	$20.44	$57.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $25.19	Professional		$19.84	$19.84	$25.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $27.16 / $31.74	Facility		$27.16	$27.16	$31.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $57.36 / $82.00	Facility		$19.84	$57.36	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $43.86 / $49.84	Professional		$19.84	$43.86	$49.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $17.23 / $43.47	Facility		$12.92	$17.23	$43.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $39.68 / $39.68	Professional		$12.30	$39.68	$39.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $17.23 / $119.95	Facility		$12.92	$17.23	$119.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $39.68	Professional		$17.23	$17.23	$39.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $65.00 / $85.00	Professional		$19.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $17.23 / $43.47	Facility		$12.92	$17.23	$43.47
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $39.68 / $39.68	Professional		$12.30	$39.68	$39.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $29.54 / $67.00	Professional		$19.84	$29.54	$67.00
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 $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $27.86 / $33.79	Professional		$17.73	$27.86	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $29.76	Professional		$19.84	$19.84	$29.76