Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $24.20 / $35.97	Facility		$19.36	$24.20	$35.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $15.32 / $63.38	Professional		$13.23	$15.32	$63.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $41.94 / $44.36	Facility		$34.68	$41.94	$44.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $66.73	Professional		$7.96	$7.96	$66.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $43.80 / $45.52	Facility		$8.86	$43.80	$45.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.44 / $49.36	Professional		$18.59	$43.44	$49.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $14.36 / $19.36	Facility		$14.36	$14.36	$19.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $14.52 / $115.61	Facility		$13.23	$14.52	$115.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $16.13 / $44.68	Professional		$9.46	$16.13	$44.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $44.52 / $85.00	Professional		$8.07	$44.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $14.36 / $19.36	Facility		$14.36	$14.36	$19.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $39.60 / $106.54	Professional		$19.71	$39.60	$106.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $33.39 / $115.61	Facility		$32.26	$33.39	$115.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.62 / $15.68	Professional		$8.55	$10.62	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $29.77 / $34.35	Professional		$29.77	$29.77	$34.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $64.29 / $88.07	Professional		$29.77	$64.29	$88.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $13.27 / $44.20	Professional		$8.07	$13.27	$44.20