Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $33.86 / $107.90	Facility		$15.76	$33.86	$107.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $15.76 / $39.93	Professional		$2.15	$15.76	$39.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Facility		$19.13	$19.13	$19.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $19.43	Professional		$15.30	$15.30	$19.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $20.95 / $24.48	Facility		$20.95	$20.95	$24.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $30.11 / $43.04	Facility		$15.30	$30.11	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $17.55 / $22.59	Professional		$15.30	$17.55	$22.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $16.93 / $33.50	Facility		$5.96	$16.93	$33.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $30.60 / $30.60	Professional		$0.26	$30.60	$30.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $16.93 / $51.50	Facility		$5.96	$16.93	$51.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $30.60	Professional		$16.93	$16.93	$30.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $65.00 / $85.00	Professional		$17.76	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $16.93 / $33.50	Facility		$5.96	$16.93	$33.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $30.60 / $30.60	Professional		$0.26	$30.60	$30.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $15.30 / $38.00	Professional		$13.67	$15.30	$38.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $100.00	Facility		$15.30	$15.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $21.48 / $21.48	Professional		$7.95	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $22.95	Professional		$15.30	$15.30	$22.95