Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $17.00 / $21.71	Professional		$14.83	$17.00	$21.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $47.03 / $49.75	Facility		$38.89	$47.03	$49.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $73.79	Professional		$2.11	$2.11	$73.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $18.09 / $27.57	Facility		$12.45	$18.09	$27.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.71 / $55.35	Professional		$20.65	$48.71	$55.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $16.28 / $23.16	Facility		$9.59	$16.28	$23.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $18.09 / $85.93	Facility		$9.59	$18.09	$85.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $18.09 / $37.99	Professional		$10.49	$18.09	$37.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $65.00 / $85.00	Professional		$9.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $16.28 / $23.16	Facility		$9.59	$16.28	$23.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $43.19 / $61.60	Professional		$21.28	$43.19	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $36.18 / $85.93	Facility		$36.18	$36.18	$85.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $38.52 / $38.52	Professional		$38.52	$38.52	$38.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $98.77 / $98.77	Professional		$94.97	$98.77	$98.77
United Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Facility		$18.09	$18.09	$18.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $14.47 / $37.99	Professional		$9.05	$14.47	$37.99