Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $21.21 / $31.53	Facility		$16.97	$21.21	$31.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $13.29 / $55.63	Professional		$11.59	$13.29	$55.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $36.76 / $38.89	Facility		$30.40	$36.76	$38.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $58.50	Professional		$6.98	$6.98	$58.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $38.40 / $39.90	Facility		$7.77	$38.40	$39.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.07 / $43.26	Professional		$16.52	$38.07	$43.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $16.97	Facility		$12.60	$12.60	$16.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.73 / $85.10	Facility		$11.59	$12.73	$85.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $14.14 / $39.17	Professional		$8.30	$14.14	$39.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $27.73 / $85.00	Professional		$7.07	$27.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $16.97	Facility		$12.60	$12.60	$16.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $34.85 / $68.95	Professional		$17.28	$34.85	$68.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.28 / $85.10	Facility		$28.28	$28.28	$85.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $9.31 / $13.85	Professional		$7.49	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $30.11	Professional		$18.80	$18.80	$30.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $77.20	Professional		$18.80	$18.80	$77.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $11.67 / $38.75	Professional		$7.07	$11.67	$38.75