Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $19.01 / $28.25	Facility		$15.20	$19.01	$28.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.04 / $49.82	Professional		$10.39	$12.04	$49.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $32.94 / $34.84	Facility		$27.24	$32.94	$34.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $52.42	Professional		$6.26	$6.26	$52.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $34.40 / $35.76	Facility		$8.64	$34.40	$35.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $34.11 / $38.78	Professional		$14.46	$34.11	$38.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $15.20	Facility		$11.29	$11.29	$15.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $11.40 / $100.00	Facility		$10.39	$11.40	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.67 / $35.10	Professional		$7.60	$12.67	$35.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $24.84 / $85.00	Professional		$6.34	$24.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $15.20	Facility		$11.29	$11.29	$15.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.89 / $123.85	Professional		$15.49	$30.89	$123.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $50.00 / $100.00	Facility		$25.34	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.33 / $12.28	Professional		$6.72	$8.33	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $26.98	Professional		$13.04	$13.04	$26.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $69.18	Professional		$13.04	$13.04	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.43 / $31.36	Professional		$7.35	$10.43	$31.36