Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $29.31 / $34.52	Facility		$15.48	$29.31	$34.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.49 / $39.46	Professional		$15.04	$15.49	$39.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $27.82 / $33.54	Facility		$18.80	$27.82	$33.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $19.10	Professional		$15.04	$15.04	$19.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $20.59 / $24.06	Facility		$20.59	$20.59	$24.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $36.54 / $52.24	Facility		$15.04	$36.54	$52.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $23.51 / $26.71	Professional		$15.30	$23.51	$26.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $32.79	Facility		$1.50	$1.50	$32.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $30.08 / $30.08	Professional		$2.25	$30.08	$30.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $15.03	Facility		$1.50	$1.50	$15.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $30.08	Professional		$15.03	$15.03	$30.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $65.00 / $85.00	Professional		$15.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $32.79	Facility		$1.50	$1.50	$32.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $30.08 / $30.08	Professional		$2.25	$30.08	$30.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $23.29 / $46.00	Professional		$15.04	$23.29	$46.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $100.00	Facility		$15.04	$15.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $21.12 / $23.94	Professional		$18.92	$21.12	$23.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $21.06	Professional		$15.04	$15.04	$21.06