Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $56.38 / $66.40	Facility		$11.65	$56.38	$66.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.60 / $35.28	Professional		$7.96	$11.60	$35.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $25.25 / $26.70	Facility		$20.88	$25.25	$26.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $41.60	Professional		$7.19	$7.19	$41.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $26.37 / $27.41	Facility		$6.48	$26.37	$27.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
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 / $26.15 / $29.71	Professional		$11.15	$26.15	$29.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $11.65	Facility		$5.15	$5.15	$11.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $7.96 / $90.00	Facility		$5.15	$7.96	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $11.65 / $29.78	Professional		$5.83	$11.65	$29.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $19.03 / $85.00	Professional		$4.86	$19.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $11.65	Facility		$5.15	$5.15	$11.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $23.76 / $40.04	Professional		$13.10	$23.76	$40.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $50.00 / $90.00	Facility		$19.42	$50.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.37 / $12.39	Professional		$5.15	$6.37	$12.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $20.68	Professional		$9.99	$9.99	$20.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $38.71 / $53.02	Professional		$9.99	$38.71	$53.02
United Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Facility		$9.71	$9.71	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.91 / $26.61	Professional		$5.83	$9.91	$26.61