Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $19.92 / $29.61	Facility		$15.94	$19.92	$29.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $12.48 / $15.94	Professional		$10.89	$12.48	$15.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $34.53 / $36.52	Facility		$28.55	$34.53	$36.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.10 / $54.18	Professional		$6.56	$8.10	$54.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $36.04 / $37.47	Facility		$7.29	$36.04	$37.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.76 / $40.64	Professional		$15.28	$35.76	$40.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $15.94	Facility		$11.83	$11.83	$15.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $11.83 / $63.08	Facility		$10.89	$11.83	$63.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $13.28 / $36.79	Professional		$7.97	$13.28	$36.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $19.92 / $85.00	Professional		$6.57	$19.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $15.94	Facility		$11.83	$11.83	$15.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $32.47 / $45.10	Professional		$16.23	$32.47	$45.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $26.56 / $63.08	Facility		$26.56	$26.56	$63.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.04 / $8.33	Professional		$7.04	$7.04	$8.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $13.66 / $28.28	Professional		$13.66	$13.66	$28.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $69.72 / $72.51	Professional		$13.66	$69.72	$72.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $10.84 / $29.82	Professional		$7.70	$10.84	$29.82