Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $62.50 / $194.48	Facility		$13.38	$62.50	$194.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.78 / $11.64	Professional		$8.44	$8.78	$11.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $25.22 / $26.68	Facility		$20.86	$25.22	$26.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $40.13	Professional		$4.79	$4.79	$40.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $26.32 / $27.36	Facility		$6.47	$26.32	$27.36
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 / $26.13 / $29.69	Professional		$11.15	$26.13	$29.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $11.64	Facility		$8.64	$8.64	$11.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $9.33 / $100.00	Facility		$7.95	$9.33	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $9.69 / $26.87	Professional		$5.82	$9.69	$26.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $26.77 / $85.00	Professional		$4.84	$26.77	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $11.64	Facility		$8.64	$8.64	$11.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $23.76 / $109.82	Professional		$11.85	$23.76	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $100.00	Facility		$19.39	$19.39	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.37 / $9.41	Professional		$5.14	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $20.66 / $26.78	Professional		$20.66	$20.66	$26.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $52.96	Professional		$26.78	$26.78	$52.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.00 / $28.46	Professional		$5.63	$8.00	$28.46