Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.25 / $127.93	Facility		$6.31	$7.25	$127.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.34 / $11.71	Professional		$6.31	$7.34	$11.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $27.68 / $27.68	Professional		$12.70	$27.68	$27.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $9.91 / $9.91	Facility		$9.91	$9.91	$9.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $37.00 / $51.78	Facility		$28.37	$37.00	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.62 / $28.37	Professional		$13.88	$17.62	$28.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.47 / $14.66	Facility		$6.11	$9.47	$14.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $10.42	Professional		$10.42	$10.42	$10.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.74 / $90.00	Facility		$6.31	$13.74	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.61 / $15.95	Professional		$7.25	$9.61	$15.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $55.00 / $85.00	Professional		$9.89	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.47 / $14.66	Facility		$6.11	$9.47	$14.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $10.42	Professional		$10.42	$10.42	$10.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $29.19 / $37.90	Professional		$15.90	$29.19	$37.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $90.00	Facility		$23.58	$23.58	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.37 / $86.59	Professional		$20.71	$28.37	$86.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $22.05 / $22.50	Professional		$19.13	$22.05	$22.50
United Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $8.18 / $35.70	Facility		$7.55	$8.18	$35.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.27 / $14.21	Professional		$6.68	$9.27	$14.21