Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $24.89 / $200.00	Facility		$13.27	$24.89	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.27 / $59.39	Professional		$9.77	$13.27	$59.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $28.76 / $30.42	Facility		$23.78	$28.76	$30.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $10.39 / $45.12	Professional		$4.42	$10.39	$45.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $27.03 / $37.27	Facility		$27.03	$27.03	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $34.82 / $54.92	Facility		$30.64	$34.82	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $40.70 / $46.25	Professional		$16.20	$40.70	$46.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $13.27 / $21.74	Facility		$8.52	$13.27	$21.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $13.27 / $21.74	Facility		$8.52	$13.27	$21.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.85 / $180.00	Professional		$6.42	$8.85	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $27.75 / $85.00	Professional		$9.88	$27.75	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $13.27 / $22.12	Facility		$8.52	$13.27	$22.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $30.62 / $37.40	Professional		$22.10	$30.62	$37.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $55.30 / $180.00	Professional		$26.54	$55.30	$180.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $29.34	Professional		$8.09	$8.09	$29.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $31.33 / $73.73	Professional		$8.09	$31.33	$73.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.64 / $29.33	Professional		$6.19	$6.64	$29.33