Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $23.67 / $35.19	Facility		$18.94	$23.67	$35.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.99 / $57.26	Professional		$12.94	$14.99	$57.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $41.03 / $43.40	Facility		$33.93	$41.03	$43.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $65.29	Professional		$7.19	$7.19	$65.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $39.54 / $41.10	Facility		$8.92	$39.54	$41.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.49 / $48.29	Professional		$18.17	$42.49	$48.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $18.94	Facility		$12.97	$12.97	$18.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $14.01 / $101.00	Facility		$12.94	$14.01	$101.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $15.78 / $42.71	Professional		$9.47	$15.78	$42.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $28.54 / $85.00	Professional		$7.89	$28.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $18.94	Facility		$12.97	$12.97	$18.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.81 / $62.83	Professional		$18.62	$38.81	$62.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $31.56 / $101.00	Facility		$31.56	$31.56	$101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.64 / $14.11	Professional		$8.36	$9.64	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $33.60	Professional		$14.99	$14.99	$33.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $86.16	Professional		$14.99	$14.99	$86.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.62 / $42.71	Professional		$8.74	$12.62	$42.71