Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $44.04 / $86.60	Facility		$9.73	$44.04	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $11.52 / $16.23	Professional		$4.67	$11.52	$16.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $14.21	Professional		$11.19	$11.19	$14.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $17.89	Facility		$15.32	$15.32	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $21.35 / $30.53	Facility		$11.19	$21.35	$30.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.15 / $17.21	Professional		$12.56	$15.15	$17.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $9.44 / $24.94	Facility		$5.30	$9.44	$24.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $22.38 / $22.38	Professional		$6.94	$22.38	$22.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $42.57 / $81.72	Facility		$9.44	$42.57	$81.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $19.85	Professional		$9.44	$9.44	$19.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $65.00 / $85.00	Professional		$12.33	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $9.44 / $24.94	Facility		$5.30	$9.44	$24.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $22.38 / $22.38	Professional		$6.94	$22.38	$22.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.81 / $43.00	Professional		$11.18	$13.81	$43.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $100.00	Facility		$11.19	$11.19	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $15.71 / $15.71	Professional		$7.42	$15.71	$15.71
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $15.67	Professional		$11.19	$11.19	$15.67