Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $14.16 / $21.05	Facility		$11.33	$14.16	$21.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.97 / $27.08	Professional		$7.74	$8.97	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $24.54 / $25.96	Facility		$20.30	$24.54	$25.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $38.51	Professional		$4.66	$4.66	$38.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $25.64 / $26.64	Facility		$6.29	$25.64	$26.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.42 / $28.89	Professional		$10.74	$25.42	$28.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.62 / $11.33	Facility		$6.13	$6.62	$11.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $7.74 / $100.00	Facility		$6.13	$7.74	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.56 / $20.99	Professional		$5.48	$7.56	$20.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $24.31 / $85.00	Professional		$4.72	$24.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.62 / $11.33	Facility		$6.13	$6.62	$11.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $22.97 / $70.29	Professional		$11.54	$22.97	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $100.00	Facility		$18.88	$18.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.59 / $6.80	Professional		$4.57	$4.59	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $20.10	Professional		$7.09	$7.09	$20.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $23.34 / $51.54	Professional		$7.09	$23.34	$51.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.55 / $20.99	Professional		$5.03	$7.55	$20.99