Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $11.74 / $13.83	Facility		$5.95	$11.74	$13.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.77 / $8.36	Professional		$5.76	$5.77	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $10.67 / $12.87	Facility		$7.21	$10.67	$12.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $7.32	Professional		$5.77	$5.77	$7.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $9.23	Facility		$7.90	$7.90	$9.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $14.30 / $20.44	Facility		$5.77	$14.30	$20.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.94 / $10.18	Professional		$6.45	$8.94	$10.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $6.02 / $12.84	Facility		$5.77	$6.02	$12.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.54 / $11.54	Professional		$9.02	$11.54	$11.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $6.02 / $13.55	Facility		$5.96	$6.02	$13.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $11.54	Professional		$6.02	$6.02	$11.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.31 / $85.00	Professional		$5.77	$6.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $6.02 / $12.84	Facility		$5.77	$6.02	$12.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.54 / $11.54	Professional		$9.02	$11.54	$11.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $9.71 / $20.53	Professional		$5.77	$9.71	$20.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $646.52 / $646.52 / $646.52	Facility		$646.52	$646.52	$646.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.10 / $9.17	Professional		$6.82	$8.10	$9.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $8.66	Professional		$5.77	$5.77	$8.66