Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $18.78 / $27.92	Facility		$15.02	$18.78	$27.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $11.89 / $49.25	Professional		$10.27	$11.89	$49.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.54 / $34.43	Facility		$26.92	$32.54	$34.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.18 / $51.80	Professional		$6.18	$6.18	$51.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $34.02 / $35.36	Facility		$8.53	$34.02	$35.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $33.72 / $38.31	Professional		$14.46	$33.72	$38.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $15.02	Facility		$11.16	$11.16	$15.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $11.27 / $100.00	Facility		$10.27	$11.27	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.52 / $34.68	Professional		$7.51	$12.52	$34.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $24.56 / $85.00	Professional		$6.26	$24.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $15.02	Facility		$11.16	$11.16	$15.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $30.89 / $79.06	Professional		$15.31	$30.89	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $50.00 / $100.00	Facility		$25.04	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $8.33 / $12.28	Professional		$6.64	$8.33	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $26.66	Professional		$12.89	$12.89	$26.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $50.82 / $68.36	Professional		$12.89	$50.82	$68.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $11.00 / $36.77	Professional		$7.51	$11.00	$36.77