Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $21.27 / $31.62	Facility		$17.02	$21.27	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.33 / $17.02	Professional		$11.63	$13.33	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $36.86 / $39.00	Facility		$30.49	$36.86	$39.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $58.67	Professional		$6.85	$6.85	$58.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $37.65 / $39.14	Facility		$9.63	$37.65	$39.14
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 / $38.18 / $43.39	Professional		$16.52	$38.18	$43.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $17.02	Facility		$12.34	$12.34	$17.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $12.76 / $70.00	Facility		$11.63	$12.76	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $14.18 / $39.28	Professional		$8.50	$14.18	$39.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $28.59 / $85.00	Professional		$7.09	$28.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $17.02	Facility		$12.34	$12.34	$17.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $34.85 / $58.63	Professional		$16.95	$34.85	$58.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $70.00	Facility		$28.36	$28.36	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.15 / $13.59	Professional		$7.52	$9.15	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $30.20	Professional		$14.27	$14.27	$30.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $77.42	Professional		$14.27	$14.27	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.62 / $38.86	Professional		$8.14	$11.62	$38.86