Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $21.79 / $241.92	Facility		$11.72	$21.79	$241.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $9.27 / $34.32	Professional		$8.01	$9.27	$34.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $25.40 / $26.87	Facility		$21.01	$25.40	$26.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $39.86	Professional		$4.30	$4.30	$39.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $10.26 / $23.87	Facility		$6.52	$10.26	$23.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.31 / $29.90	Professional		$11.15	$26.31	$29.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $11.72	Facility		$5.18	$5.18	$11.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $8.01 / $75.08	Facility		$5.18	$8.01	$75.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.58 / $25.62	Professional		$5.67	$9.58	$25.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $17.10 / $85.00	Professional		$4.88	$17.10	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $11.72	Facility		$5.18	$5.18	$11.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $54.90	Professional		$11.40	$23.76	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $75.08	Facility		$19.54	$19.54	$75.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.72 / $8.61	Professional		$5.18	$5.72	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $8.98 / $20.81	Professional		$8.98	$8.98	$20.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $8.98 / $53.34	Professional		$8.98	$8.98	$53.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.82 / $26.77	Professional		$5.67	$7.82	$26.77