Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $19.20 / $28.54	Facility		$15.36	$19.20	$28.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.16 / $50.34	Professional		$10.50	$12.16	$50.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $33.28 / $35.20	Facility		$27.52	$33.28	$35.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $52.96	Professional		$6.32	$6.32	$52.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $34.75 / $36.11	Facility		$8.73	$34.75	$36.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.46 / $39.15	Professional		$14.87	$34.46	$39.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $15.36	Facility		$11.40	$11.40	$15.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $11.52 / $100.00	Facility		$10.50	$11.52	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $12.80 / $35.46	Professional		$7.68	$12.80	$35.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $35.33 / $85.00	Professional		$6.40	$35.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $15.36	Facility		$11.40	$11.40	$15.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $31.68 / $114.22	Professional		$15.64	$31.68	$114.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $100.00	Facility		$25.60	$25.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $8.49 / $12.55	Professional		$6.78	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $27.26 / $42.13	Professional		$27.26	$27.26	$42.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $69.89	Professional		$42.13	$42.13	$69.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Facility		$12.80	$12.80	$12.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $10.81 / $35.08	Professional		$7.42	$10.81	$35.08