Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $22.62 / $33.63	Facility		$18.10	$22.62	$33.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $14.33 / $59.26	Professional		$12.37	$14.33	$59.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $39.21 / $41.47	Facility		$32.42	$39.21	$41.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $62.39	Professional		$7.44	$7.44	$62.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $40.94 / $42.55	Facility		$8.27	$40.94	$42.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $40.61 / $46.15	Professional		$17.35	$40.61	$46.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $13.57 / $98.60	Facility		$12.37	$13.57	$98.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $15.08 / $41.77	Professional		$8.85	$15.08	$41.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $29.55 / $85.00	Professional		$7.54	$29.55	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $18.10	Facility		$13.43	$13.43	$18.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $37.22 / $101.44	Professional		$18.43	$37.22	$101.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $98.60	Facility		$30.16	$30.16	$98.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.96 / $14.64	Professional		$7.99	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $63.54	Professional		$32.11	$32.11	$63.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $63.54 / $82.34	Professional		$63.54	$63.54	$82.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.73 / $41.33	Professional		$8.11	$12.73	$41.33