Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $29.44 / $33.81	Facility		$4.32	$29.44	$33.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.32 / $22.08	Professional		$4.19	$4.32	$22.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $7.75 / $9.34	Facility		$5.24	$7.75	$9.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $6.28	Professional		$4.19	$4.19	$6.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $7.54 / $7.68	Facility		$6.70	$7.54	$7.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $19.21 / $39.94	Facility		$4.19	$19.21	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $19.21 / $42.00	Professional		$4.19	$19.21	$42.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.61 / $113.94	Facility		$4.19	$4.61	$113.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $81.50	Professional		$8.38	$8.38	$81.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $15.16 / $87.11	Facility		$14.72	$15.16	$87.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $16.39 / $3,115.14	Professional		$14.72	$16.39	$3,115.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.61 / $113.94	Facility		$4.19	$4.61	$113.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $81.50	Professional		$8.38	$8.38	$81.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $10.19 / $29.53	Professional		$4.19	$10.19	$29.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $96.90 / $263.20	Facility		$4.19	$96.90	$263.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $96.90 / $3,115.14	Professional		$4.19	$96.90	$3,115.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $150.13	Professional		$5.88	$5.88	$150.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.32 / $5.28	Professional		$4.19	$4.32	$5.28