Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $30.19 / $38.35	Facility		$16.25	$30.19	$38.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.30 / $16.25	Professional		$11.10	$12.30	$16.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $35.20 / $37.24	Facility		$29.11	$35.20	$37.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.25 / $56.02	Professional		$6.69	$8.25	$56.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $36.78 / $38.22	Facility		$7.44	$36.78	$38.22
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 $15.69 / $36.47 / $41.44	Professional		$15.69	$36.47	$41.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $16.25	Facility		$12.06	$12.06	$16.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $12.06 / $64.31	Facility		$11.10	$12.06	$64.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.54 / $37.51	Professional		$7.85	$13.54	$37.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $20.30 / $85.00	Professional		$6.70	$20.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $16.25	Facility		$12.06	$12.06	$16.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $33.26 / $46.20	Professional		$16.55	$33.26	$46.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $27.08 / $64.31	Facility		$27.08	$27.08	$64.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $8.49	Professional		$7.18	$7.18	$8.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $28.83	Professional		$13.94	$13.94	$28.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $73.93	Professional		$13.94	$13.94	$73.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.06 / $37.51	Professional		$7.84	$11.06	$37.51