Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $103.08 / $133.00	Facility		$11.35	$103.08	$133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.89 / $59.31	Professional		$8.23	$8.89	$59.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $24.60 / $26.02	Facility		$20.34	$24.60	$26.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $39.14	Professional		$4.67	$4.67	$39.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $25.69 / $26.70	Facility		$6.45	$25.69	$26.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.48 / $28.95	Professional		$10.74	$25.48	$28.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $11.35	Facility		$8.41	$8.41	$11.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.51 / $100.00	Facility		$7.76	$8.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $9.46 / $26.20	Professional		$5.54	$9.46	$26.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $18.53 / $85.00	Professional		$4.73	$18.53	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $11.35	Facility		$8.41	$8.41	$11.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $22.97 / $74.67	Professional		$11.56	$22.97	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $100.00	Facility		$18.92	$18.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.21 / $9.15	Professional		$5.01	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $20.14	Professional		$15.45	$15.45	$20.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $47.69 / $51.65	Professional		$15.45	$47.69	$51.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $9.46 / $34.06	Professional		$4.73	$9.46	$34.06