Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $22.37 / $41.57	Facility		$22.37	$22.37	$41.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $15.28 / $22.37	Professional		$12.41	$15.28	$22.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $48.46 / $51.26	Facility		$40.08	$48.46	$51.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $76.04	Professional		$7.46	$7.46	$76.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $47.35	Facility		$18.64	$18.64	$47.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $35.01 / $57.04	Professional		$21.48	$35.01	$57.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $22.37	Facility		$9.69	$9.69	$22.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $14.91 / $88.54	Facility		$9.69	$14.91	$88.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $18.64 / $39.14	Professional		$10.81	$18.64	$39.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $27.96 / $85.00	Professional		$9.23	$27.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $22.37	Facility		$9.69	$9.69	$22.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $44.74 / $63.80	Professional		$24.93	$44.74	$63.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $88.54	Facility		$37.28	$37.28	$88.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $9.88	Professional		$9.08	$9.08	$9.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $39.69	Professional		$18.64	$18.64	$39.69
Security Health Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $112.40 / $128.43	Facility		$93.39	$112.40	$128.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $54.17 / $101.77	Professional		$18.64	$54.17	$101.77
United Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $22.37 / $22.37	Facility		$22.37	$22.37	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.91 / $39.14	Professional		$9.32	$14.91	$39.14