Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $20.78 / $23.88	Facility		$10.70	$20.78	$23.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.50 / $12.47	Professional		$10.39	$10.50	$12.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $19.22 / $23.17	Facility		$12.99	$19.22	$23.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $14.02	Professional		$10.39	$10.39	$14.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $18.70 / $19.04	Facility		$16.62	$18.70	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $15.73 / $28.88	Facility		$10.39	$15.73	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $13.23 / $20.43	Professional		$10.39	$13.23	$20.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.42 / $17.82	Facility		$10.39	$10.42	$17.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $20.78 / $20.78	Professional		$15.59	$20.78	$20.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $14.99	Facility		$10.39	$10.39	$14.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.57 / $796.88	Professional		$10.39	$11.57	$796.88
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 $10.39 / $10.39 / $17.82	Facility		$10.39	$10.39	$17.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $20.78 / $20.78	Professional		$15.59	$20.78	$20.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $16.13 / $32.00	Professional		$10.39	$16.13	$32.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $85.00 / $100.00	Facility		$10.39	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $19.14 / $796.88	Professional		$10.39	$19.14	$796.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $14.59 / $16.55	Professional		$13.08	$14.59	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.70 / $12.36	Professional		$10.39	$10.70	$12.36