Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $14.72 / $21.88	Facility		$11.77	$14.72	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $9.32 / $30.20	Professional		$8.03	$9.32	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $25.51 / $26.98	Facility		$21.09	$25.51	$26.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $40.03	Professional		$3.92	$3.92	$40.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $23.97 / $24.92	Facility		$6.54	$23.97	$24.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.41 / $30.01	Professional		$11.15	$26.41	$30.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $7.39 / $11.77	Facility		$6.84	$7.39	$11.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $8.03 / $100.00	Facility		$6.84	$8.03	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.42 / $22.55	Professional		$5.69	$8.42	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $15.06 / $85.00	Professional		$4.91	$15.06	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $7.39 / $11.77	Facility		$6.84	$7.39	$11.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $82.36	Professional		$11.40	$23.76	$82.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $100.00	Facility		$19.62	$19.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.15 / $7.58	Professional		$5.05	$5.15	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $115.75	Professional		$20.89	$20.89	$115.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $53.56 / $115.75	Professional		$30.60	$53.56	$115.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.85 / $22.55	Professional		$5.00	$7.85	$22.55