Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $169.85 / $773.93	Facility		$7.80	$169.85	$773.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $44.56 / $768.00	Professional		$5.05	$44.56	$768.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $6.33 / $6.33	Facility		$6.33	$6.33	$6.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.42	Professional		$5.05	$5.05	$6.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $9.27 / $9.27	Facility		$7.49	$9.27	$9.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $15.73 / $22.48	Facility		$5.05	$15.73	$22.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.24 / $12.78	Professional		$9.71	$11.24	$12.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.20 / $11.59	Facility		$5.05	$5.20	$11.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.11 / $10.11	Professional		$7.80	$10.11	$10.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $46.37 / $128.52	Facility		$5.20	$46.37	$128.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.80 / $57.79	Professional		$5.20	$7.80	$57.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $65.00 / $85.00	Professional		$9.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.20 / $11.59	Facility		$5.05	$5.20	$11.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.11 / $10.11	Professional		$7.80	$10.11	$10.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.87 / $18.70	Professional		$5.05	$7.87	$18.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $132.88	Facility		$5.05	$5.05	$132.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $20.16	Professional		$7.10	$7.10	$20.16
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.02 / $57.79	Professional		$5.05	$6.02	$57.79