Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $83.00 / $123.99	Facility		$15.17	$83.00	$123.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $10.45 / $33.26	Professional		$9.02	$10.45	$33.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $28.60 / $30.25	Facility		$23.65	$28.60	$30.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $44.88	Professional		$4.40	$4.40	$44.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $26.89 / $27.94	Facility		$7.34	$26.89	$27.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $29.62 / $33.65	Professional		$12.80	$29.62	$33.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $13.20	Facility		$5.50	$5.50	$13.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.34 / $100.00	Facility		$5.50	$10.34	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $9.28 / $24.84	Professional		$6.19	$9.28	$24.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.59 / $85.00	Professional		$5.50	$16.59	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $13.20	Facility		$5.50	$5.50	$13.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $26.93 / $70.29	Professional		$14.85	$26.93	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $50.00 / $100.00	Facility		$22.00	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.65 / $8.36	Professional		$5.55	$5.65	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $39.26	Professional		$23.42	$23.42	$39.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $60.06	Professional		$39.26	$39.26	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.80 / $24.84	Professional		$5.50	$8.80	$24.84