Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $26.54 / $39.45	Facility		$21.23	$26.54	$39.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.80 / $69.56	Professional		$14.51	$16.80	$69.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $45.99 / $48.65	Facility		$38.03	$45.99	$48.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $73.19	Professional		$8.74	$8.74	$73.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $48.05 / $49.94	Facility		$12.07	$48.05	$49.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $47.64 / $54.14	Professional		$20.65	$47.64	$54.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $15.76 / $21.23	Facility		$15.76	$15.76	$21.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $15.92 / $100.00	Facility		$14.51	$15.92	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $17.69 / $49.00	Professional		$10.61	$17.69	$49.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $34.68 / $85.00	Professional		$8.85	$34.68	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $15.76 / $21.23	Facility		$15.76	$15.76	$21.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $43.56 / $95.31	Professional		$21.63	$43.56	$95.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $50.00 / $100.00	Facility		$35.38	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.60 / $17.25	Professional		$9.38	$11.60	$17.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $37.67	Professional		$18.20	$18.20	$37.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $89.24 / $96.59	Professional		$18.20	$89.24	$96.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.94 / $48.48	Professional		$10.26	$14.94	$48.48