Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $21.33 / $25.13	Facility		$11.27	$21.33	$25.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $11.31 / $27.59	Professional		$10.98	$11.31	$27.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $20.30 / $24.49	Facility		$13.73	$20.30	$24.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $13.94	Professional		$10.98	$10.98	$13.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $17.57	Facility		$15.04	$15.04	$17.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $27.43 / $39.21	Facility		$10.98	$27.43	$39.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $18.95 / $21.54	Professional		$10.69	$18.95	$21.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.94 / $10.98	Facility		$5.37	$10.94	$10.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $21.96 / $21.96	Professional		$3.47	$21.96	$21.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.94 / $10.94	Facility		$5.37	$10.94	$10.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $21.96	Professional		$10.94	$10.94	$21.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $65.00 / $85.00	Professional		$10.50	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.94 / $10.98	Facility		$5.37	$10.94	$10.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $21.96 / $21.96	Professional		$3.47	$21.96	$21.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $15.83 / $34.00	Professional		$10.98	$15.83	$34.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $100.00	Facility		$10.98	$10.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Professional		$10.98	$10.98	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.42 / $16.34	Professional		$11.76	$15.42	$16.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $15.48	Professional		$10.98	$10.98	$15.48