Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $22.04 / $32.76	Facility		$17.63	$22.04	$32.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.63 / $24.88	Professional		$12.05	$17.63	$24.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $38.19 / $40.40	Facility		$31.58	$38.19	$40.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $60.78	Professional		$7.26	$7.26	$60.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $39.88 / $41.45	Facility		$8.07	$39.88	$41.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.56 / $44.95	Professional		$16.93	$39.56	$44.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $13.08 / $17.63	Facility		$13.08	$13.08	$17.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $13.22 / $77.00	Facility		$12.05	$13.22	$77.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $14.69 / $40.69	Professional		$8.81	$14.69	$40.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $28.79 / $85.00	Professional		$7.35	$28.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $13.08 / $17.63	Facility		$13.08	$13.08	$17.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $35.64 / $88.52	Professional		$17.95	$35.64	$88.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $77.00	Facility		$29.38	$29.38	$77.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.64 / $14.37	Professional		$7.79	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $31.28	Professional		$25.54	$25.54	$31.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $80.20	Professional		$25.54	$25.54	$80.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.69 / $52.88	Professional		$8.52	$14.69	$52.88