Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $13.28 / $19.73	Facility		$10.62	$13.28	$19.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $8.41 / $34.78	Professional		$7.26	$8.41	$34.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $23.01 / $24.34	Facility		$19.03	$23.01	$24.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $36.63	Professional		$4.37	$4.37	$36.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $24.03 / $24.97	Facility		$6.04	$24.03	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.83 / $27.08	Professional		$9.91	$23.83	$27.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $10.62	Facility		$7.88	$7.88	$10.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $7.97 / $100.00	Facility		$7.26	$7.97	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $8.85 / $24.51	Professional		$5.19	$8.85	$24.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $17.34 / $85.00	Professional		$4.43	$17.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $10.62	Facility		$7.88	$7.88	$10.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $21.38 / $87.89	Professional		$10.81	$21.38	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $17.70 / $100.00	Facility		$17.70	$17.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.88 / $8.61	Professional		$4.69	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $18.85	Professional		$9.11	$9.11	$18.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $29.99 / $48.32	Professional		$9.11	$29.99	$48.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.28 / $21.90	Professional		$5.13	$7.28	$21.90