Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $21.11 / $31.38	Facility		$16.88	$21.11	$31.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $13.37 / $23.57	Professional		$11.54	$13.37	$23.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $36.58 / $38.69	Facility		$30.25	$36.58	$38.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $56.28	Professional		$5.63	$5.63	$56.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $34.39 / $35.74	Facility		$8.30	$34.39	$35.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $29.99 / $43.05	Professional		$16.11	$29.99	$43.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.76 / $16.88	Facility		$5.34	$5.76	$16.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $11.54 / $100.00	Facility		$5.34	$11.54	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $10.00 / $25.33	Professional		$4.94	$10.00	$25.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $21.11 / $85.00	Professional		$7.04	$21.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.76 / $16.88	Facility		$5.34	$5.76	$16.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $34.06 / $46.52	Professional		$16.34	$34.06	$46.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $28.14 / $100.00	Facility		$28.14	$28.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.01 / $5.75	Professional		$3.92	$4.01	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $29.96	Professional		$6.17	$6.17	$29.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $28.41 / $76.81	Professional		$6.17	$28.41	$76.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.44 / $25.33	Professional		$5.05	$8.44	$25.33