Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $16.88 / $25.09	Facility		$13.50	$16.88	$25.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $10.69 / $21.62	Professional		$9.23	$10.69	$21.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $29.25 / $30.94	Facility		$24.19	$29.25	$30.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $45.48	Professional		$4.50	$4.50	$45.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $27.49 / $28.58	Facility		$6.03	$27.49	$28.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $27.26 / $34.43	Professional		$13.22	$27.26	$34.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.29 / $13.50	Facility		$4.90	$5.29	$13.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.23 / $100.00	Facility		$4.90	$9.23	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.69 / $20.25	Professional		$4.51	$7.69	$20.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $16.88 / $85.00	Professional		$5.63	$16.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.29 / $13.50	Facility		$4.90	$5.29	$13.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $27.72 / $68.06	Professional		$13.30	$27.72	$68.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $50.00 / $100.00	Facility		$22.50	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.68 / $5.49	Professional		$3.59	$3.68	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $23.96	Professional		$5.66	$5.66	$23.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $26.06 / $61.43	Professional		$5.66	$26.06	$61.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $6.75 / $20.25	Professional		$4.61	$6.75	$20.25