Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $17.37 / $25.82	Facility		$13.90	$17.37	$25.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.89 / $13.90	Professional		$9.50	$10.89	$13.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $30.11 / $31.85	Facility		$24.90	$30.11	$31.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.72 / $47.91	Professional		$5.72	$5.72	$47.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $31.43 / $32.65	Facility		$7.90	$31.43	$32.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.19 / $35.44	Professional		$13.22	$31.19	$35.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $13.90	Facility		$10.31	$10.31	$13.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $10.42 / $100.00	Facility		$9.50	$10.42	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.58 / $32.08	Professional		$6.95	$11.58	$32.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $22.68 / $85.00	Professional		$5.79	$22.68	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $13.90	Facility		$10.31	$10.31	$13.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $28.51 / $108.71	Professional		$14.15	$28.51	$108.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $100.00	Facility		$23.16	$23.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.68 / $11.24	Professional		$6.14	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $24.66 / $52.34	Professional		$24.66	$24.66	$52.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $52.34 / $63.23	Professional		$46.15	$52.34	$63.23
United Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $9.26 / $11.58	Facility		$5.79	$9.26	$11.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.55 / $28.65	Professional		$6.72	$9.55	$28.65