Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $18.18 / $27.27	Facility		$8.19	$18.18	$27.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $437.86 / $2,501.86	Professional		$8.19	$437.86	$2,501.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.71 / $17.73	Facility		$9.94	$14.71	$17.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $10.09	Professional		$7.95	$7.95	$10.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $12.72	Facility		$10.89	$10.89	$12.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $22.25 / $31.80	Facility		$7.95	$22.25	$31.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.22 / $16.16	Professional		$9.41	$14.22	$16.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $9.09 / $16.92	Facility		$7.95	$9.09	$16.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.90 / $15.90	Professional		$13.64	$15.90	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $61.17	Facility		$9.09	$9.09	$61.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $15.90	Professional		$9.09	$9.09	$15.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.25 / $85.00	Professional		$7.95	$9.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $9.09 / $16.92	Facility		$7.95	$9.09	$16.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.90 / $15.90	Professional		$13.64	$15.90	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $12.38 / $28.00	Professional		$7.95	$12.38	$28.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $18.76	Professional		$11.16	$11.16	$18.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $11.93	Professional		$7.95	$7.95	$11.93