Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $25.13 / $37.35	Facility		$20.10	$25.13	$37.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $15.91 / $65.87	Professional		$13.74	$15.91	$65.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $43.55 / $46.06	Facility		$36.01	$43.55	$46.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $69.31	Professional		$8.27	$8.27	$69.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $45.48 / $47.27	Facility		$9.19	$45.48	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.10 / $51.25	Professional		$19.41	$45.10	$51.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $14.92 / $20.10	Facility		$14.92	$14.92	$20.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $15.08 / $80.19	Facility		$13.74	$15.08	$80.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $16.75 / $46.40	Professional		$10.05	$16.75	$46.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $32.83 / $85.00	Professional		$8.38	$32.83	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $14.92 / $20.10	Facility		$14.92	$14.92	$20.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $41.18 / $81.28	Professional		$20.47	$41.18	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $33.50 / $80.19	Facility		$33.50	$33.50	$80.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.11 / $16.47	Professional		$8.88	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $35.67 / $74.78	Professional		$35.67	$35.67	$74.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $74.78 / $91.46	Professional		$66.78	$74.78	$91.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $14.05 / $45.90	Professional		$9.72	$14.05	$45.90