Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $22.95 / $34.11	Facility		$18.36	$22.95	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.57 / $45.02	Professional		$10.98	$12.57	$45.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $39.78 / $42.08	Facility		$32.90	$39.78	$42.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $62.41	Professional		$6.12	$6.12	$62.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $37.39 / $38.86	Facility		$8.41	$37.39	$38.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.20 / $46.81	Professional		$17.35	$41.20	$46.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $11.02 / $18.36	Facility		$10.19	$11.02	$18.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $12.55 / $72.68	Facility		$10.19	$12.55	$72.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.57 / $33.61	Professional		$8.36	$12.57	$33.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $22.95 / $85.00	Professional		$7.65	$22.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $11.02 / $18.36	Facility		$10.19	$11.02	$18.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $37.22 / $96.21	Professional		$17.86	$37.22	$96.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $72.68	Facility		$30.60	$30.60	$72.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.65 / $11.24	Professional		$7.51	$7.65	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $32.58	Professional		$18.85	$18.85	$32.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $57.77 / $83.54	Professional		$18.85	$57.77	$83.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.67 / $28.48	Professional		$7.65	$9.67	$28.48