Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $175.25 / $332.79	Facility		$13.84	$175.25	$332.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.46 / $13.84	Professional		$7.49	$10.46	$13.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $29.98 / $31.71	Facility		$24.79	$29.98	$31.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $47.71	Professional		$5.70	$5.70	$47.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $31.30 / $32.54	Facility		$7.87	$31.30	$32.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.05 / $35.29	Professional		$13.22	$31.05	$35.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $10.38 / $100.00	Facility		$9.44	$10.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.53 / $31.94	Professional		$6.92	$11.53	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $22.61 / $85.00	Professional		$5.77	$22.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $13.84	Facility		$10.27	$10.27	$13.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $28.51 / $39.60	Professional		$14.09	$28.51	$39.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $100.00	Facility		$23.06	$23.06	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.68 / $11.41	Professional		$6.11	$7.68	$11.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $82.40	Professional		$24.55	$24.55	$82.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $62.95 / $82.40	Professional		$45.98	$62.95	$82.40
United Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $9.49 / $28.56	Professional		$6.69	$9.49	$28.56