Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $17.80 / $26.47	Facility		$14.24	$17.80	$26.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $11.28 / $24.20	Professional		$9.73	$11.28	$24.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $30.86 / $32.64	Facility		$25.52	$30.86	$32.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $48.43	Professional		$5.86	$5.86	$48.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $32.24 / $33.50	Facility		$8.10	$32.24	$33.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $31.97 / $36.33	Professional		$13.63	$31.97	$36.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $10.57 / $14.24	Facility		$10.57	$10.57	$14.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $10.68 / $81.00	Facility		$9.73	$10.68	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $9.50 / $26.37	Professional		$5.07	$9.50	$26.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $17.80 / $85.00	Professional		$5.94	$17.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $10.57 / $14.24	Facility		$10.57	$10.57	$14.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $29.30 / $48.30	Professional		$14.51	$29.30	$48.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $50.00 / $81.00	Facility		$23.74	$50.00	$81.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $7.84 / $11.50	Professional		$6.29	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $25.28	Professional		$6.34	$6.34	$25.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $24.56 / $64.81	Professional		$6.34	$24.56	$64.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $8.44 / $26.37	Professional		$5.03	$8.44	$26.37