Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $23.21 / $34.50	Facility		$18.55	$23.21	$34.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $14.70 / $55.71	Professional		$12.69	$14.70	$55.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $40.22 / $42.54	Facility		$33.26	$40.22	$42.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $64.00	Professional		$7.00	$7.00	$64.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $38.49 / $40.01	Facility		$10.36	$38.49	$40.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.66 / $47.34	Professional		$17.76	$41.66	$47.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $12.62 / $18.55	Facility		$12.62	$12.62	$18.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $13.64 / $100.00	Facility		$12.62	$13.64	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.47 / $41.58	Professional		$9.27	$15.47	$41.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $42.70 / $85.00	Professional		$7.74	$42.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $12.62 / $18.55	Facility		$12.62	$12.62	$18.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $38.02 / $114.22	Professional		$18.23	$38.02	$114.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $100.00	Facility		$30.94	$30.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.31 / $13.85	Professional		$8.19	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $32.94	Professional		$14.58	$14.58	$32.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $84.47	Professional		$14.58	$14.58	$84.47
United Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.55 / $18.55	Facility		$18.55	$18.55	$18.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.96 / $41.58	Professional		$8.51	$11.96	$41.58