Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $13.83 / $20.56	Facility		$11.06	$13.83	$20.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $8.33 / $11.06	Professional		$7.56	$8.33	$11.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.97 / $25.36	Facility		$19.82	$23.97	$25.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $38.15	Professional		$4.55	$4.55	$38.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $25.05 / $26.04	Facility		$6.29	$25.05	$26.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $24.83 / $28.21	Professional		$10.74	$24.83	$28.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.21 / $11.06	Facility		$8.21	$8.21	$11.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $8.30 / $100.00	Facility		$7.56	$8.30	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.22 / $25.54	Professional		$5.41	$9.22	$25.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $18.07 / $85.00	Professional		$4.61	$18.07	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.21 / $11.06	Facility		$8.21	$8.21	$11.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $22.97 / $98.81	Professional		$11.28	$22.97	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $100.00	Facility		$18.44	$18.44	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.04 / $9.15	Professional		$4.88	$6.04	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $19.63	Professional		$15.04	$15.04	$19.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $50.34	Professional		$15.04	$15.04	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $7.73 / $25.54	Professional		$4.61	$7.73	$25.54