Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $16.11 / $23.95	Facility		$12.89	$16.11	$23.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.19 / $32.52	Professional		$8.81	$10.19	$32.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $27.92 / $29.54	Facility		$23.09	$27.92	$29.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $43.82	Professional		$4.30	$4.30	$43.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $26.25 / $27.28	Facility		$7.17	$26.25	$27.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.92 / $32.86	Professional		$12.39	$28.92	$32.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.96 / $12.89	Facility		$7.37	$7.96	$12.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $8.81 / $100.00	Facility		$7.37	$8.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $9.07 / $24.28	Professional		$6.23	$9.07	$24.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $17.05 / $85.00	Professional		$5.37	$17.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.96 / $12.89	Facility		$7.37	$7.96	$12.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $26.14 / $43.91	Professional		$12.54	$26.14	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $100.00	Facility		$21.48	$21.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.52 / $8.10	Professional		$5.39	$5.52	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $22.87	Professional		$8.51	$8.51	$22.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $39.20 / $58.64	Professional		$8.51	$39.20	$58.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $7.00 / $20.48	Professional		$5.80	$7.00	$20.48