Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $16.48 / $16.48	Facility		$16.48	$16.48	$16.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.92 / $16.48	Professional		$11.27	$12.92	$16.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $35.72 / $37.79	Facility		$29.54	$35.72	$37.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $6.79 / $56.05	Professional		$6.79	$6.79	$56.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $20.67 / $37.32	Facility		$9.44	$20.67	$37.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $37.00 / $42.05	Professional		$15.69	$37.00	$42.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $12.37 / $25.14	Facility		$7.28	$12.37	$25.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $13.74 / $75.00	Facility		$7.28	$13.74	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $13.74 / $32.07	Professional		$7.97	$13.74	$32.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $12.37 / $25.14	Facility		$7.28	$12.37	$25.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $32.34 / $46.20	Professional		$15.96	$32.34	$46.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $27.48 / $75.00	Facility		$27.48	$27.48	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Professional		$29.26	$29.26	$29.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $75.02 / $75.02	Professional		$72.14	$75.02	$75.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $33.14	Facility		$12.22	$12.22	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $10.99 / $32.07	Professional		$7.64	$10.99	$32.07