Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $22.32 / $33.47	Facility		$9.93	$22.32	$33.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.93 / $30.18	Professional		$9.64	$9.93	$30.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Facility		$12.05	$12.05	$12.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $12.24	Professional		$9.64	$9.64	$12.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $13.20 / $15.42	Facility		$13.20	$13.20	$15.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $30.65 / $43.81	Facility		$9.64	$30.65	$43.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $14.56 / $17.67	Professional		$13.84	$14.56	$17.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $11.16 / $21.39	Facility		$9.64	$11.16	$21.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.28 / $20.84	Professional		$16.73	$19.28	$20.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $11.16 / $24.94	Facility		$10.93	$11.16	$24.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $16.73 / $66.50	Professional		$11.16	$16.73	$66.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $65.00 / $85.00	Professional		$13.88	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $11.16 / $21.39	Facility		$9.64	$11.16	$21.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.28 / $20.84	Professional		$16.73	$19.28	$20.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $15.02 / $39.00	Professional		$9.64	$15.02	$39.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $1,252.36	Facility		$9.64	$9.64	$1,252.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $18.84	Professional		$13.53	$13.53	$18.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.47 / $66.50	Professional		$9.64	$11.47	$66.50