Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $60.61 / $316.76	Facility		$10.16	$60.61	$316.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.25 / $171.87	Professional		$9.86	$10.25	$171.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $12.33	Facility		$12.33	$12.33	$12.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $12.52	Professional		$9.86	$9.86	$12.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $15.78	Facility		$13.50	$13.50	$15.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $25.29 / $36.14	Facility		$9.86	$25.29	$36.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $20.21 / $22.96	Professional		$9.61	$20.21	$22.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $49.35	Facility		$9.02	$9.02	$49.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $19.72 / $19.72	Professional		$13.53	$19.72	$19.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $49.35 / $102.60	Facility		$9.02	$49.35	$102.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $19.72	Professional		$9.02	$9.02	$19.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $65.00 / $85.00	Professional		$9.18	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $49.35	Facility		$9.02	$9.02	$49.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $19.72 / $19.72	Professional		$13.53	$19.72	$19.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.23 / $38.61	Professional		$9.86	$14.23	$38.61
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 $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $13.84 / $84.79	Professional		$13.84	$13.84	$84.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $20.71	Professional		$9.86	$9.86	$20.71