Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $14.72 / $21.88	Facility		$11.77	$14.72	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $9.32 / $36.01	Professional		$8.03	$9.32	$36.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $25.51 / $26.98	Facility		$21.09	$25.51	$26.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $40.59	Professional		$4.51	$4.51	$40.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $24.88 / $25.86	Facility		$6.60	$24.88	$25.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.41 / $30.01	Professional		$11.15	$26.41	$30.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $8.16 / $11.77	Facility		$8.16	$8.16	$11.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.82 / $100.00	Facility		$8.03	$8.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.81 / $26.88	Professional		$5.89	$9.81	$26.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $55.00 / $85.00	Professional		$4.91	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $8.16 / $11.77	Facility		$8.16	$8.16	$11.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $98.81	Professional		$11.40	$23.76	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $100.00	Facility		$19.62	$19.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.04 / $8.89	Professional		$5.20	$6.04	$8.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $9.43 / $20.89	Professional		$9.43	$9.43	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $28.51 / $53.56	Professional		$9.43	$28.51	$53.56
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.74 / $22.68	Professional		$5.50	$7.74	$22.68