Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $21.44 / $31.87	Facility		$17.14	$21.44	$31.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $13.43 / $38.78	Professional		$11.72	$13.43	$38.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $37.15 / $39.29	Facility		$30.72	$37.15	$39.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $58.29	Professional		$7.06	$7.06	$58.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $38.81 / $40.34	Facility		$9.75	$38.81	$40.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.47 / $43.73	Professional		$16.52	$38.47	$43.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $17.14	Facility		$12.72	$12.72	$17.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $12.86 / $107.00	Facility		$11.72	$12.86	$107.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $13.78 / $31.75	Professional		$8.11	$13.78	$31.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $21.44 / $85.00	Professional		$7.15	$21.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $17.14	Facility		$12.72	$12.72	$17.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $34.85 / $197.64	Professional		$17.47	$34.85	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $107.00	Facility		$28.58	$28.58	$107.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.47 / $13.85	Professional		$7.57	$9.47	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $30.43 / $70.45	Professional		$30.43	$30.43	$70.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $70.45 / $78.02	Professional		$41.53	$70.45	$78.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $11.68 / $28.94	Professional		$8.06	$11.68	$28.94