Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $23.85 / $35.46	Facility		$19.07	$23.85	$35.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $15.11 / $48.05	Professional		$13.04	$15.11	$48.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $41.34 / $43.73	Facility		$34.19	$41.34	$43.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $64.86	Professional		$7.36	$7.36	$64.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $40.47 / $42.06	Facility		$10.70	$40.47	$42.06
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 $18.17 / $42.81 / $48.65	Professional		$18.17	$42.81	$48.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $19.07	Facility		$13.28	$13.28	$19.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $14.31 / $99.00	Facility		$13.04	$14.31	$99.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $13.42 / $35.86	Professional		$8.93	$13.42	$35.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $23.96 / $85.00	Professional		$7.95	$23.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $19.07	Facility		$13.28	$13.28	$19.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.81 / $92.26	Professional		$18.62	$38.81	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $50.00 / $99.00	Facility		$31.80	$50.00	$99.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $9.80 / $14.64	Professional		$8.43	$9.80	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $33.86	Professional		$12.58	$12.58	$33.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $55.66 / $86.81	Professional		$12.58	$55.66	$86.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $12.72 / $35.86	Professional		$7.95	$12.72	$35.86