Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $20.01 / $29.75	Facility		$16.01	$20.01	$29.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $12.67 / $39.27	Professional		$10.94	$12.67	$39.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $34.68 / $36.69	Facility		$28.68	$34.68	$36.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $54.42	Professional		$5.34	$5.34	$54.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $32.61 / $33.88	Facility		$8.90	$32.61	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.93 / $40.83	Professional		$15.28	$35.93	$40.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $16.01	Facility		$6.67	$6.67	$16.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $10.94 / $66.30	Facility		$6.67	$10.94	$66.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $10.96 / $29.32	Professional		$7.30	$10.96	$29.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $20.01 / $85.00	Professional		$6.67	$20.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $16.01	Facility		$6.67	$6.67	$16.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $47.68	Professional		$15.58	$32.47	$47.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $26.68 / $66.30	Facility		$26.68	$26.68	$66.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.67 / $9.67	Professional		$6.53	$6.67	$9.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $28.41	Professional		$10.28	$10.28	$28.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $39.82 / $72.84	Professional		$10.28	$39.82	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $10.67 / $29.32	Professional		$6.67	$10.67	$29.32