Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $20.01 / $29.75	Facility		$16.01	$20.01	$29.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $12.67 / $20.32	Professional		$10.94	$12.67	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $34.68 / $36.69	Facility		$28.68	$34.68	$36.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $53.36	Professional		$5.34	$5.34	$53.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $32.61 / $33.88	Facility		$7.75	$32.61	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $25.89 / $40.83	Professional		$15.28	$25.89	$40.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.98 / $16.01	Facility		$4.61	$4.98	$16.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $10.94 / $100.00	Facility		$4.61	$10.94	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $8.00 / $24.01	Professional		$4.26	$8.00	$24.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $20.01 / $85.00	Professional		$6.67	$20.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.98 / $16.01	Facility		$4.61	$4.98	$16.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $46.55	Professional		$15.58	$32.47	$46.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $50.00 / $100.00	Facility		$26.68	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.47 / $4.97	Professional		$3.43	$3.47	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $28.41	Professional		$5.33	$5.33	$28.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $72.84	Professional		$5.33	$5.33	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.00 / $24.01	Professional		$4.34	$8.00	$24.01