Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $23.98 / $27.54	Facility		$12.65	$23.98	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.41 / $15.06	Professional		$12.28	$12.41	$15.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $22.72 / $27.38	Facility		$15.35	$22.72	$27.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $16.57	Professional		$12.28	$12.28	$16.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $22.10 / $22.51	Facility		$19.64	$22.10	$22.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $17.73 / $30.78	Facility		$11.87	$17.73	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $18.09 / $25.70	Professional		$12.28	$18.09	$25.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $12.53 / $15.36	Facility		$11.99	$12.53	$15.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.56 / $24.56	Professional		$17.98	$24.56	$24.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $11.99 / $15.06	Facility		$11.99	$11.99	$15.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.35 / $88.81	Professional		$11.99	$13.35	$88.81
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 $11.99 / $12.41 / $15.06	Facility		$11.99	$12.41	$15.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.56 / $24.56	Professional		$17.98	$24.56	$24.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $33.53 / $60.19	Professional		$12.28	$33.53	$60.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $26.52 / $110.12	Facility		$12.28	$26.52	$110.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $31.51 / $88.81	Professional		$12.28	$31.51	$88.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.47	Professional		$12.28	$12.28	$15.47