Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.03 / $20.85	Facility		$11.22	$14.03	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $11.22 / $60.12	Professional		$7.67	$11.22	$60.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $24.31 / $25.71	Facility		$20.10	$24.31	$25.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $38.15	Professional		$3.74	$3.74	$38.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $22.85 / $23.75	Facility		$6.10	$22.85	$23.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.18 / $28.61	Professional		$10.74	$25.18	$28.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.61 / $11.22	Facility		$6.12	$6.61	$11.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $7.67 / $100.00	Facility		$6.12	$7.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $9.35 / $20.18	Professional		$5.42	$9.35	$20.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $14.03 / $85.00	Professional		$4.68	$14.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.61 / $11.22	Facility		$6.12	$6.61	$11.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.97 / $109.82	Professional		$11.02	$22.97	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $18.70 / $100.00	Facility		$18.70	$18.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.59 / $6.80	Professional		$4.57	$4.59	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $19.91 / $39.14	Professional		$19.91	$19.91	$39.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $39.14 / $51.05	Professional		$27.38	$39.14	$51.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.48 / $20.18	Professional		$4.68	$7.48	$20.18