Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $31.53 / $207.36	Facility		$16.97	$31.53	$207.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.29 / $25.23	Professional		$10.31	$13.29	$25.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $36.76 / $38.89	Facility		$30.40	$36.76	$38.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $56.56	Professional		$5.66	$5.66	$56.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $34.54 / $35.92	Facility		$8.98	$34.54	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.07 / $43.26	Professional		$16.52	$38.07	$43.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $8.25 / $16.97	Facility		$7.64	$8.25	$16.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $11.59 / $100.00	Facility		$7.64	$11.59	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.42 / $25.45	Professional		$5.28	$9.42	$25.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $22.64 / $85.00	Professional		$7.07	$22.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $8.25 / $16.97	Facility		$7.64	$8.25	$16.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $34.85 / $63.68	Professional		$16.72	$34.85	$63.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.28 / $100.00	Facility		$28.28	$28.28	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.73 / $8.36	Professional		$5.72	$5.73	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $30.11	Professional		$8.50	$8.50	$30.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $32.35 / $77.20	Professional		$8.50	$32.35	$77.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $8.48 / $26.32	Professional		$5.38	$8.48	$26.32