Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $19.19 / $94.60	Facility		$15.35	$19.19	$94.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $11.41 / $17.55	Professional		$10.73	$11.41	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $33.25 / $35.17	Facility		$27.50	$33.25	$35.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $52.92	Professional		$6.32	$6.32	$52.92
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 / $34.44 / $39.14	Professional		$14.87	$34.44	$39.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $15.35	Facility		$11.40	$11.40	$15.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $11.51 / $100.00	Facility		$10.49	$11.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.79 / $35.43	Professional		$7.51	$12.79	$35.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $25.09 / $85.00	Professional		$6.40	$25.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $15.35	Facility		$11.40	$11.40	$15.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $31.68 / $120.79	Professional		$15.64	$31.68	$120.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $25.58 / $100.00	Facility		$25.58	$25.58	$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 $27.24 / $27.24 / $37.70	Professional		$27.24	$27.24	$37.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $69.83	Professional		$37.70	$37.70	$69.83
United Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $12.79 / $12.79	Facility		$12.79	$12.79	$12.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $10.53 / $31.68	Professional		$6.40	$10.53	$31.68