Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $19.73 / $29.32	Facility		$15.78	$19.73	$29.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.49 / $30.40	Professional		$10.78	$12.49	$30.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $34.19 / $36.15	Facility		$28.27	$34.19	$36.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $53.64	Professional		$5.26	$5.26	$53.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $32.13 / $33.40	Facility		$8.28	$32.13	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.40 / $40.24	Professional		$15.28	$35.40	$40.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $7.44 / $15.78	Facility		$6.88	$7.44	$15.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.78 / $100.00	Facility		$6.88	$10.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $10.52 / $23.67	Professional		$5.94	$10.52	$23.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $19.73 / $85.00	Professional		$6.58	$19.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $7.44 / $15.78	Facility		$6.88	$7.44	$15.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $74.04	Professional		$15.58	$32.47	$74.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $50.00 / $100.00	Facility		$26.30	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.18 / $7.58	Professional		$5.05	$5.18	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $33.52	Professional		$28.00	$28.00	$33.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $38.22 / $71.80	Professional		$33.52	$38.22	$71.80
United Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $13.15 / $13.15	Facility		$13.15	$13.15	$13.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $10.52 / $23.67	Professional		$5.65	$10.52	$23.67