Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $13.03 / $15.34	Facility		$6.88	$13.03	$15.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.04 / $556.20	Professional		$6.76	$7.04	$556.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $12.52 / $15.10	Facility		$8.46	$12.52	$15.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $8.59	Professional		$6.77	$6.77	$8.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $10.83	Facility		$9.27	$9.27	$10.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $16.98 / $24.27	Facility		$6.77	$16.98	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $9.58 / $10.89	Professional		$7.05	$9.58	$10.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $14.96	Facility		$6.68	$6.68	$14.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.54 / $13.54	Professional		$10.02	$13.54	$13.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $14.96	Facility		$6.68	$6.68	$14.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $13.54	Professional		$6.68	$6.68	$13.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $16.91 / $85.00	Professional		$6.93	$16.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $14.96	Facility		$6.68	$6.68	$14.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.54 / $13.54	Professional		$10.02	$13.54	$13.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.54 / $22.69	Professional		$6.77	$10.54	$22.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $86.15 / $86.15	Facility		$86.15	$86.15	$86.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $10.83	Professional		$6.77	$6.77	$10.83