Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $9.58 / $118.37	Facility		$4.93	$9.58	$118.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.93 / $26.44	Professional		$4.79	$4.93	$26.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Facility		$5.99	$5.99	$5.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.08	Professional		$4.79	$4.79	$6.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $7.66	Facility		$6.56	$6.56	$7.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $17.60 / $25.16	Facility		$4.79	$17.60	$25.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.82 / $10.02	Professional		$6.49	$8.82	$10.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $17.55	Facility		$4.79	$4.79	$17.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.58 / $9.58	Professional		$7.19	$9.58	$9.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $39.28 / $134.97	Facility		$4.79	$39.28	$134.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.58	Professional		$4.79	$4.79	$9.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $65.00 / $85.00	Professional		$6.36	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $17.55	Facility		$4.79	$4.79	$17.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.58 / $9.58	Professional		$7.19	$9.58	$9.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.46 / $22.00	Professional		$4.79	$7.46	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $197.50	Facility		$4.79	$4.79	$197.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $30.34	Professional		$6.73	$6.73	$30.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.19	Professional		$4.79	$4.79	$7.19