Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $19.43 / $28.88	Facility		$15.54	$19.43	$28.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.66 / $15.54	Professional		$10.62	$11.66	$15.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $33.67 / $35.61	Facility		$27.84	$33.67	$35.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $53.59	Professional		$6.39	$6.39	$53.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $35.17 / $36.54	Facility		$8.84	$35.17	$36.54
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 $14.87 / $34.86 / $39.63	Professional		$14.87	$34.86	$39.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $15.54	Facility		$11.54	$11.54	$15.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $12.17 / $80.00	Facility		$10.62	$12.17	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $12.95 / $37.99	Professional		$7.77	$12.95	$37.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $25.38 / $85.00	Professional		$6.48	$25.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $15.54	Facility		$11.54	$11.54	$15.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $31.68 / $131.77	Professional		$15.83	$31.68	$131.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $80.00	Facility		$25.90	$25.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.49 / $12.55	Professional		$6.86	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $66.20	Professional		$27.58	$27.58	$66.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $66.20 / $70.70	Professional		$51.61	$66.20	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $10.94 / $35.49	Professional		$7.51	$10.94	$35.49