Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $15.04 / $19.20	Professional		$13.12	$15.04	$19.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $41.60 / $44.00	Facility		$34.40	$41.60	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $64.00	Professional		$5.92	$5.92	$64.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $16.00 / $24.12	Facility		$11.01	$16.00	$24.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $43.09 / $48.96	Professional		$18.17	$43.09	$48.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $14.40 / $20.48	Facility		$8.48	$14.40	$20.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $16.00 / $76.00	Facility		$8.48	$16.00	$76.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.00 / $33.60	Professional		$9.27	$16.00	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $65.00 / $85.00	Professional		$8.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $14.40 / $20.48	Facility		$8.48	$14.40	$20.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.79 / $53.90	Professional		$18.62	$37.79	$53.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $76.00	Facility		$32.00	$32.00	$76.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $8.48	Professional		$8.48	$8.48	$8.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $34.07 / $34.07	Professional		$34.07	$34.07	$34.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $87.36 / $87.36	Professional		$84.00	$87.36	$87.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.60 / $33.60	Professional		$8.00	$9.60	$33.60