Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $36.77 / $56.29	Facility		$24.45	$36.77	$56.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $25.23 / $40.00	Professional		$24.50	$25.23	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $45.33 / $54.64	Facility		$30.63	$45.33	$54.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $31.11	Professional		$24.50	$24.50	$31.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $39.20	Facility		$33.54	$33.54	$39.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.27 / $24.50	Facility		$5.62	$10.27	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.09 / $31.88	Professional		$6.24	$7.09	$31.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $24.50 / $24.51	Facility		$3.37	$24.50	$24.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $49.00 / $49.00	Professional		$36.77	$49.00	$49.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $24.51 / $24.51	Facility		$3.37	$24.51	$24.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $24.51 / $49.00	Professional		$24.51	$24.51	$49.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $65.00 / $85.00	Professional		$25.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $24.50 / $24.51	Facility		$3.37	$24.50	$24.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $49.00 / $49.00	Professional		$36.77	$49.00	$49.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $24.50 / $38.13	Professional		$8.30	$24.50	$38.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $125.10 / $125.10	Facility		$125.10	$125.10	$125.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $34.40 / $34.40	Professional		$4.82	$34.40	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $33.54	Professional		$24.50	$24.50	$33.54